Atypical fibroxanthoma in head and neck
Jin Pyeong Kim1, Gyung Hyuck Ko2, Jin Young Kim3
1Department of Otolaryngology, Gyeongsang National University College of Medicine, Jinju, Korea. ; Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju, Korea.
Clinical and Experimental Otorhinolaryngology
|March 4, 2014
Summary
Atypical fibroxanthoma, a dermal tumor, can appear benign but has malignant histologic features. This case highlights a superficial lesion treated with wide excision, emphasizing the need for awareness of potential recurrence.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Atypical fibroxanthoma (AFX) is a rare dermal neoplasm.
- Clinically, AFX often presents as a benign lesion, yet it exhibits malignant histologic features.
- While generally considered benign, AFX has reported recurrence rates of 2%-20% and rare instances of metastasis.
Purpose of the Study:
- To describe a case of atypical fibroxanthoma in a 70-year-old male.
- To discuss the clinical and histological characteristics of this specific AFX case.
- To review existing literature on atypical fibroxanthoma management and outcomes.
Main Methods:
- Case presentation of a 70-year-old male with a left infra-auricular lesion.
- Histopathological examination revealing pleomorphic spindle cells and multinucleated giant cells.
- Treatment involved wide excision of the superficial dermal lesion.
Main Results:
- The lesion was superficial and histologically characterized by compact pleomorphic spindle cells and bizarre multinucleated giant cells.
- The patient underwent wide excision for treatment.
- The case contributes to the understanding of AFX presentation and management.
Conclusions:
- Atypical fibroxanthoma, despite its benign clinical appearance, necessitates careful management due to potential for recurrence.
- Wide excision is a standard treatment approach for such dermal lesions.
- Further literature review supports vigilance for AFX, even in superficial presentations.
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