Microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: A case report

Soft tissue sarcomas are rare tumors with a dismal prognosis. Among the most common histological types of sarcomas of the extremities, malignant fibrous histiocytoma (MFH) is the one with the highest incidence. Surgery is considered to be the first choice of treatment for MFH. To the best of our kno...

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Main Authors:	D'ORAZI, VALERIO, PANUNZI, ANDREA, PAOLONI, MARCO, ORTENSI, ALICE, ANICHINI, SILVIA, CIALINI, MICHELA, NARDONI, STEFANO, URCIUOLI, PAOLO, PASTA, VITTORIO, ORTENSI, ANDREA
Format:	Online
Language:	English
Published:	D.A. Spandidos 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4665679/

id	pubmed-4665679
recordtype	oai_dc
spelling	pubmed-46656792016-01-22 Microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: A case report D'ORAZI, VALERIO PANUNZI, ANDREA PAOLONI, MARCO ORTENSI, ALICE ANICHINI, SILVIA CIALINI, MICHELA NARDONI, STEFANO URCIUOLI, PAOLO PASTA, VITTORIO ORTENSI, ANDREA Articles Soft tissue sarcomas are rare tumors with a dismal prognosis. Among the most common histological types of sarcomas of the extremities, malignant fibrous histiocytoma (MFH) is the one with the highest incidence. Surgery is considered to be the first choice of treatment for MFH. To the best of our knowledge, this is the first case report in the literature of a patient with MFH within the abductor pollicis longus (APL) muscle. This unusual location was also unexpected by the treating surgeons, as the preoperative magnetic resonance imaging localized the tumor inside a different muscle. A 79-year-old Caucasian man presented with a swelling in the middle third of the dorsal aspect of the left forearm. MFH was diagnosed following biopsy and instrumental diagnostic examinations. Surgical excision and simultaneous reconstruction was performed by the same microsurgical team, achieving an excellent functional outcome. The present case highlights the significance of microsurgical approach for improving strategic planning in oncologic surgery. Accurate surgical dissection, performed by a team of microsurgeons, allowed for the identification of the unusual and unexpected tumor localization within the APL muscle. For this reason, a change of surgical strategy allowed for preservation of the extensor digitorum communis muscle, which would otherwise have to be resected, with tendon transfer and successful restoration of the thumb abduction function. D.A. Spandidos 2015-11 2015-07-31 /pmc/articles/PMC4665679/ /pubmed/26807229 http://dx.doi.org/10.3892/mco.2015.618 Text en Copyright: © D'orazi et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	D'ORAZI, VALERIO PANUNZI, ANDREA PAOLONI, MARCO ORTENSI, ALICE ANICHINI, SILVIA CIALINI, MICHELA NARDONI, STEFANO URCIUOLI, PAOLO PASTA, VITTORIO ORTENSI, ANDREA
spellingShingle	D'ORAZI, VALERIO PANUNZI, ANDREA PAOLONI, MARCO ORTENSI, ALICE ANICHINI, SILVIA CIALINI, MICHELA NARDONI, STEFANO URCIUOLI, PAOLO PASTA, VITTORIO ORTENSI, ANDREA Microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: A case report
author_facet	D'ORAZI, VALERIO PANUNZI, ANDREA PAOLONI, MARCO ORTENSI, ALICE ANICHINI, SILVIA CIALINI, MICHELA NARDONI, STEFANO URCIUOLI, PAOLO PASTA, VITTORIO ORTENSI, ANDREA
author_sort	D'ORAZI, VALERIO
title	Microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: A case report
title_short	Microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: A case report
title_full	Microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: A case report
title_fullStr	Microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: A case report
title_full_unstemmed	Microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: A case report
title_sort	microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: a case report
description	Soft tissue sarcomas are rare tumors with a dismal prognosis. Among the most common histological types of sarcomas of the extremities, malignant fibrous histiocytoma (MFH) is the one with the highest incidence. Surgery is considered to be the first choice of treatment for MFH. To the best of our knowledge, this is the first case report in the literature of a patient with MFH within the abductor pollicis longus (APL) muscle. This unusual location was also unexpected by the treating surgeons, as the preoperative magnetic resonance imaging localized the tumor inside a different muscle. A 79-year-old Caucasian man presented with a swelling in the middle third of the dorsal aspect of the left forearm. MFH was diagnosed following biopsy and instrumental diagnostic examinations. Surgical excision and simultaneous reconstruction was performed by the same microsurgical team, achieving an excellent functional outcome. The present case highlights the significance of microsurgical approach for improving strategic planning in oncologic surgery. Accurate surgical dissection, performed by a team of microsurgeons, allowed for the identification of the unusual and unexpected tumor localization within the APL muscle. For this reason, a change of surgical strategy allowed for preservation of the extensor digitorum communis muscle, which would otherwise have to be resected, with tendon transfer and successful restoration of the thumb abduction function.
publisher	D.A. Spandidos
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4665679/
_version_	1613508251603697664

Microsurgical approach for unusual and unexpected malignant fibrous histiocytoma of the forearm: A case report

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