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Malignant fibrous histiocytoma in a child's hand
The Journal of Hand Surgery
|September 1, 1986
Insights
A rare malignant fibrous histiocytoma was diagnosed in a young girl's hand. Surgical amputation of affected fingers led to a favorable outcome with no signs of recurrence or metastasis.
Area of Science:
- Pediatric Oncology
- Surgical Pathology
- Soft Tissue Tumors
Background:
- Malignant fibrous histiocytoma (MFH) is a rare soft tissue sarcoma.
- Pediatric hand tumors require accurate diagnosis and effective treatment strategies.
Observation:
- A 3-year-old female presented with a 4-month history of a right hand tumor.
- The tumor involved subcutaneous and soft tissues of the palm and digits.
Findings:
- Histologic and ultrastructural studies confirmed the diagnosis of malignant fibrous histiocytoma.
- The tumor originated from fibroblastic and histiocytic cells.
- Amputation of the long, ring, and small fingers was performed.
Implications:
- Early diagnosis and surgical intervention are crucial for pediatric soft tissue sarcomas.
- Complete resection offers a favorable prognosis for localized MFH in children.
- This case highlights the importance of multidisciplinary evaluation for rare pediatric tumors.
Abstract:
A 3-year-old girl had a 4-month history of a tumor in her right hand. The tumor was located in the subcutaneous and soft tissues of the palm and the long, ring, and small fingers. Histologic studies showed a malignant fibrous histiocytoma that was confirmed by the ultrastructural study as having a fibroblastic and histiocytic origin. The long, ring, and small fingers were amputated. The postoperative course was normal, and 18 months later no recurrence or metastases were observed.