Abstract
Primary pulmonary malignant fibrous histiocytoma (MFH) is very rare, so only a few imaging features have been reported. We report one case of rapidly growing primary pulmonary MFH mimicking a partially thrombosed pulmonary artery aneurysm and its radiologic findings, including multidetector row computed tomography (MDCT), conventional angiography, and fluorodeoxyglucose-positron emission tomography CT ([18F] FDG-PET/CT). On multi-phasic MDCT, this mass mimicked a pulmonary artery aneurysm with partial thrombosis. However, pulmonary artery aneurysm was excluded and suggested as a hypervascular parenchymal mass by subsequent conventional angiography. On [18F] FDG-PET/CT, it was a highly metabolic mass, showing a maximal standard uptake value (SUV) 12.1. Although primary pulmonary MFH is very rare and has no specific imaging findings, our experience might be helpful to differentiate a hypervascular pulmonary mass.
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References
Aoe K, Hiraki A, Maeda T, Onoda T, Makihata K, Takao K, Fujii M, Murakami K, Moriyama M, Eda R et al (2003) Malignant fibrous histiocytoma of the lung. Anticancer Res 23:3469–3474
Harris M (1980) The ultrastructure of benign and malignant fibrous histiocytomas. Histopathol 4:29–44
Kearney MM, Soule EH, Ivins JC (1980) Malignant fibrous histiocytoma: a retrospective study of 167 cases. Cancer 45:167–178
Lattes R (1982) Malignant fibrous histiocytoma. A review article. Am J Surg Path 6:761–771
Findik S, Erkan ML, Kandemir B (2001) A case report: primary malignant fibrous histiocytoma of the lung. Turk Respir J 2:44–46
Janssen JP, Mulder JJ, Wagenaar SS, Elbers HR, van den Bosch JM (1994) Primary sarcoma of the lung: a clinical study with long-term follow-up. Ann Thoracic Surg 58:1151–1155
Halyard MY, Camoriano JK, Culligan JA, Weiland LH, Allen MS, Pluth JR, Pairolero PC (1996) Malignant fibrous histiocytoma of the lung. Report of four cases and review of the literature. Cancer 78:2492–2497
Pui MH, Yu SP, Chen JD (1999) Primary intrathoracic malignant fibrous histiocytoma and angiosarcoma. Aust Radiol 43:3–6
Ros PR, Viamonte M Jr, Rywlin AM (1984) Malignant fibrous histiocytoma: mesenchymal tumor of ubiquitous origin. AJR 142:753–759
Nistal M, Jimenez-Heffernan JA, Hardisson D, Viguer JM, Bueno J, Garcia-Miguel P (1997) Malignant fibrous histiocytoma of the lung in a child. An unusual neoplasm that can mimic inflammatory pseudotumour. Eur J Pediatr 156:107–109
Reifsnyder AC, Smith HJ, Mullhollan TJ, Lee EL (1990) Malignant fibrous histiocytoma of the lung in a patient with a history of asbestos exposure. AJR 154:65–66
Burgener FA, Landman S (1976) Angiographic features of malignant fibrous histiocytomas. Radiology 121:581–583
Aoki J, Watanabe H, Shinozaki T, Takagishi K, Tokunaga M, Koyama Y, Sato N, Endo K (2003) FDG-PET for preoperative differential diagnosis between benign and malignant soft tissue masses. Skeletal Radiol 32:133–138
Gamelli RL, Liu H, He LK, Hofmann CA (1996) Augmentations of glucose uptake and glucose transporter-1 in macrophages following thermal injury and sepsis in mice. J Leukocyte Biol 59:639–647
Meszaros K, Lang CH, Bagby GJ, Spitzer JJ (1987) Contribution of different organs to increased glucose consumption after endotoxin administration. J Biol Chem 262:10965–10970
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Noh, H.W., Park, K.J., Sun, J.S. et al. Primary pulmonary malignant fibrous histiocytoma mimics pulmonary artery aneurysm with partial thrombosis: various radiologic evaluations. Eur Radiol 18, 1653–1657 (2008). https://doi.org/10.1007/s00330-008-0922-0
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DOI: https://doi.org/10.1007/s00330-008-0922-0