Summary
The case of a 45-year-old woman with malignant fibroxanthoma (malignant histiocytoma) of the abdominal wall is reported. A local recurrence five years after surgery and radiation therapy required removal. Subsequent surgical intervention for radionecrosis and a fecal fistula failed to reveal residual tumor; the patient is free of tumor twenty-five years after the initial excision. The differential diagnosis of atypical and malignant fibroxanthoma is discussed. Studies of the small number of malignant fibroxanthomas reported in the literature suggest a poor correlation of the histopathologic characteristics of these lesions with their relatively benign biologic behavior.
Similar content being viewed by others
References
Enzinger, F. M.: Soft Tissue Branch, Armed Forces Institute of Pathology, Washington, D. C.: Personal communication 1970.
—— Lattes, R., Torloni, H.: Histological typing of soft tissue tumours. International histological classification of tumours, No. 3. Geneva: World Health Organization 1969.
Gordon, H. W.: Pseudosarcomatous reticulohistiocytoma. A report of four cases. Arch. Derm.90, 319–325 (1964).
Kempson, R. L., McGavran, M. H.: Atypical fibroxanthomas of the skin. Cancer (Philad.)17, 1463–1471 (1964).
Kobak, M. W., Perlow, S.: Xanthomatous giant cell tumors arising in soft tissue. Report of an instance of malignant growth. Arch. Surg.59, 909–916 (1949).
Kroe, D. J., Pitcock, J. A.: Atypical fibroxanthoma of the skin. Report of ten cases. Amer. J. Clin. Path.51, 487–492 (1969).
O'Brien, J. E., Stout, A. P.: Malignant fibrous xanthomas. Cancer (Philad.)17, 1445–1455 (1964).
Stout, A. P., Lattes, R.: Tumors of the soft tissues. Atlas of Tumor Pathology. Second Series, Fasc. 1. Washington, D.C.: Armed Forces Institute of Pathology 1967.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Küchemann, K., Waschulzik, G. Malignant fibroxanthoma (malignant histiocytoma): an ill-defined histologic entity with unpredictable biologic behavior. Virchows Arch. Abt. A Path. Anat. 350, 389–393 (1970). https://doi.org/10.1007/BF00578545
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00578545