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Published in: International Journal of Clinical Oncology 4/2012

01-08-2012 | Case Report

A case of myxofibrosarcoma of the maxilla with difficulty in preoperative diagnosis

Authors: Susumu Nakahara, Hirokazu Uemura, Tomoyuki Kurita, Motoyuki Suzuki, Takashi Fujii, Yasuhiko Tomita, Kunitoshi Yoshino

Published in: International Journal of Clinical Oncology | Issue 4/2012

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Abstract

Myxofibrosarcoma (MFS) is a very rare fibroblast-derived sarcoma that occurs in the head and neck region. Here, we report the case of a 52-year-old man in whom MFS generated from the maxilla and whose beginning of treatment was considerably delayed because he was initially diagnosed as having a benign inflammatory lesion. Because a definite diagnosis was not obtained via 2 independent biopsies, total maxillectomy was used for both diagnosis and treatment. Histopathological and immunohistochemical analyses suggested that the tumor was a low-grade MFS. Because soft tissue tumors in the head and neck region are rare and a definite diagnosis is relatively difficult, surgical excision is indispensable if malignancy of the tumor is suspected.
Literature
1.
go back to reference Angervall L, Kindblom LG, Merck C (1977) Myxofibrosarcoma. A study of 30 cases. Acta Pathol Microbiol Scand A 85A:127–140PubMed Angervall L, Kindblom LG, Merck C (1977) Myxofibrosarcoma. A study of 30 cases. Acta Pathol Microbiol Scand A 85A:127–140PubMed
2.
go back to reference Merck C, Angervall L, Kindblom LG et al (1983) Myxofibrosarcoma. A malignant soft tissue tumor of fibroblastic-histiocytic origin. A clinicopathologic and prognostic study of 110 cases using multivariate analysis. Acta Pathol Microbiol Immunol Scand Suppl 282:1–40PubMed Merck C, Angervall L, Kindblom LG et al (1983) Myxofibrosarcoma. A malignant soft tissue tumor of fibroblastic-histiocytic origin. A clinicopathologic and prognostic study of 110 cases using multivariate analysis. Acta Pathol Microbiol Immunol Scand Suppl 282:1–40PubMed
3.
go back to reference Mentzel T, Calonje E, Wadden C et al (1996) Myxofibrosarcoma. Clinicopathologic analysis of 75 cases with emphasis on the low-grade variant. Am J Surg Pathol 20:391–405PubMedCrossRef Mentzel T, Calonje E, Wadden C et al (1996) Myxofibrosarcoma. Clinicopathologic analysis of 75 cases with emphasis on the low-grade variant. Am J Surg Pathol 20:391–405PubMedCrossRef
4.
go back to reference Pomerantz JM, Sanfacon DG, Dougherty TP et al (1982) Myxofibrosarcoma of the maxillary sinus. Del Med J 54:147–152PubMed Pomerantz JM, Sanfacon DG, Dougherty TP et al (1982) Myxofibrosarcoma of the maxillary sinus. Del Med J 54:147–152PubMed
5.
go back to reference Enoz M, Suoglu Y (2007) Myxofibrosarcoma of the maxillary sinus. Internet J Head and Neck Surg 1(1) Enoz M, Suoglu Y (2007) Myxofibrosarcoma of the maxillary sinus. Internet J Head and Neck Surg 1(1)
6.
go back to reference Lam PK, Trendell-Smith N, Li JH et al (2002) Myxofibrosarcoma of the sphenoid sinus. J Laryngol Otol 116:464–466 Lam PK, Trendell-Smith N, Li JH et al (2002) Myxofibrosarcoma of the sphenoid sinus. J Laryngol Otol 116:464–466
7.
go back to reference Nishimura G, Sano D, Hanashi M et al (2006) Myxofibrosarcoma of the hypopharynx. Auris Nasus Larynx 33:93–96 Nishimura G, Sano D, Hanashi M et al (2006) Myxofibrosarcoma of the hypopharynx. Auris Nasus Larynx 33:93–96
8.
go back to reference Udaka T, Yamamoto H, Shiomori T et al (2006) Myxofibrosarcoma of the neck. J Laryngol Otol 120:872–874 Udaka T, Yamamoto H, Shiomori T et al (2006) Myxofibrosarcoma of the neck. J Laryngol Otol 120:872–874
9.
go back to reference Gugatschka M, Beham A, Stammberger H et al (2010) First case of a myxofibrosarcoma of the vocal folds: case report and review of the literature. J Voice 24:374–376 Gugatschka M, Beham A, Stammberger H et al (2010) First case of a myxofibrosarcoma of the vocal folds: case report and review of the literature. J Voice 24:374–376
10.
go back to reference Li X, Chen X, Shi ZH et al (2010) Primary myxofibrosarcoma of the parotid: case report. BMC Cancer 10:246 Li X, Chen X, Shi ZH et al (2010) Primary myxofibrosarcoma of the parotid: case report. BMC Cancer 10:246
11.
go back to reference Guillou L, Aurias A (2010) Soft tissue sarcomas with complex genomic profiles. Virchows Arch 456:201–217PubMedCrossRef Guillou L, Aurias A (2010) Soft tissue sarcomas with complex genomic profiles. Virchows Arch 456:201–217PubMedCrossRef
12.
go back to reference Dore A, Robertson I, Williamson R et al (2003) Progression of a myxoid pleomorphic fibroma to myxofibrosarcoma. Australas J Dermatol 44:287–290PubMedCrossRef Dore A, Robertson I, Williamson R et al (2003) Progression of a myxoid pleomorphic fibroma to myxofibrosarcoma. Australas J Dermatol 44:287–290PubMedCrossRef
13.
go back to reference Huang HY, Lal P, Qin J et al (2004) Low-grade myxofibrosarcoma: a clinicopathologic analysis of 49 cases treated at a single institution with simultaneous assessment of the efficacy of 3-tier and 4-tier grading systems. Hum Pathol 35:612–621PubMedCrossRef Huang HY, Lal P, Qin J et al (2004) Low-grade myxofibrosarcoma: a clinicopathologic analysis of 49 cases treated at a single institution with simultaneous assessment of the efficacy of 3-tier and 4-tier grading systems. Hum Pathol 35:612–621PubMedCrossRef
Metadata
Title
A case of myxofibrosarcoma of the maxilla with difficulty in preoperative diagnosis
Authors
Susumu Nakahara
Hirokazu Uemura
Tomoyuki Kurita
Motoyuki Suzuki
Takashi Fujii
Yasuhiko Tomita
Kunitoshi Yoshino
Publication date
01-08-2012
Publisher
Springer Japan
Published in
International Journal of Clinical Oncology / Issue 4/2012
Print ISSN: 1341-9625
Electronic ISSN: 1437-7772
DOI
https://doi.org/10.1007/s10147-011-0302-7

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