ABSTRACT
Ossifying fibromyxoid tumors are rare soft-tissue neoplasms, usually with an indolent course. However, atypical/malignant variants have been described, showing either local recurrence after complete excision or metastasis to the lungs, mediastinum, adrenals, or soft tissue. We report the case of an ossifying fibromyxoid tumor of the left ankle that metastasized to the lung and thyroid gland 12 years after the initial diagnosis and surgical treatment. To our knowledge, this is the first reported case of this neoplasm metastasizing to the thyroid gland.
Subject(s)
Bone Neoplasms/pathology , Fibroma, Ossifying/secondary , Lung Neoplasms/secondary , Osteosarcoma/secondary , Thyroid Neoplasms/secondary , Bone Neoplasms/surgery , Female , Fibroma, Ossifying/pathology , Fibroma, Ossifying/surgery , Humans , Lung Neoplasms/surgery , Middle Aged , Osteosarcoma/pathology , Osteosarcoma/surgery , Tarsal Bones , Thyroid Neoplasms/surgeryABSTRACT
The ossifying fibromyxoid tumor (OFMT) of soft parts is a rare soft tissue neoplasm of uncertain lineage. The most common metastases are found in the lung. Herein, we present the first case report of pulmonary metastasis of ossifying fibromyxoid tumor with intracardiac extension, which was resected carefully using cardiopulmonary bypass and cardiac arrest. Subsequently pulmonary left lower lobectomy was performed. The patient recovered uneventfully and was discharged in after a few days. Recently, OFMT has been considered as a tumor of intermediate malignancy. We recommend wide surgical excision of primary tumor and radiotherapy. Early follow-up is mandatory.
