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1.
Neurocirugia (Astur : Engl Ed) ; 33(5): 242-249, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36084960

RESUMO

Primary intracranial malignant fibrous histiocytoma (MFH), or myxofibrosarcoma, is an extremely rare condition, with only a few cases reported in the literature. We report a case of a dural-based myxofibrosarcoma in a previously healthy 42-year-old man that was initially presumed to be an atypical meningioma. The findings based on conventional and advanced magnetic resonance sequences, including diffusion-weighted imaging, perfusion weighted imaging and proton magnetic resonance spectroscopy, as well as histopathological aspects, are discussed.


Assuntos
Neoplasias Encefálicas , Histiocitoma Fibroso Maligno , Neoplasias Meníngeas , Meningioma , Adulto , Neoplasias Encefálicas/diagnóstico por imagem , Histiocitoma Fibroso Maligno/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Neoplasias Meníngeas/diagnóstico por imagem , Neoplasias Meníngeas/patologia , Meningioma/diagnóstico por imagem , Meningioma/patologia
2.
Braz J Cardiovasc Surg ; 34(3): 372-376, 2019 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-31310479

RESUMO

We are going to present a case of malignant fibrous histiocytoma in the right atrium, which is a very rare entity. The patient had a right atrial mass, which prolapsed through the tricuspid valve into the right ventricle, causing functional tricuspid valve stenosis. The tumor was completely resected and the patient had an uneventful postoperative period. Histopathological examination reported malignant fibrous histiocytoma. The patient presented to the emergency department five weeks after discharge with dyspnea and palpitation. Echocardiography and magnetic resonance imaging revealed recurrent right atrial tumor mass. His clinical status has worsened, with syncope and acute renal failure. On the repeated echocardiography, suspected tumor recurrence was observed in left atrium, which probably caused systemic embolization. Considering the aggressive nature of the tumor and systemic involvement, our Heart Council decided to provide palliative treatment by nonsurgical management. His status deteriorated for the next few days and the patient succumbed to a cardiac arrest on the 4th day.


Assuntos
Neoplasias Cardíacas/patologia , Histiocitoma Fibroso Maligno/patologia , Angiografia Coronária , Ecocardiografia , Evolução Fatal , Átrios do Coração/diagnóstico por imagem , Átrios do Coração/patologia , Neoplasias Cardíacas/diagnóstico por imagem , Histiocitoma Fibroso Maligno/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Masculino , Recidiva Local de Neoplasia , Doenças Raras , Tomografia Computadorizada por Raios X , Prolapso da Valva Tricúspide/diagnóstico por imagem , Prolapso da Valva Tricúspide/patologia
3.
Rev. bras. cir. cardiovasc ; Rev. bras. cir. cardiovasc;34(3): 372-376, Jun. 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1013471

RESUMO

Abstract We are going to present a case of malignant fibrous histiocytoma in the right atrium, which is a very rare entity. The patient had a right atrial mass, which prolapsed through the tricuspid valve into the right ventricle, causing functional tricuspid valve stenosis. The tumor was completely resected and the patient had an uneventful postoperative period. Histopathological examination reported malignant fibrous histiocytoma. The patient presented to the emergency department five weeks after discharge with dyspnea and palpitation. Echocardiography and magnetic resonance imaging revealed recurrent right atrial tumor mass. His clinical status has worsened, with syncope and acute renal failure. On the repeated echocardiography, suspected tumor recurrence was observed in left atrium, which probably caused systemic embolization. Considering the aggressive nature of the tumor and systemic involvement, our Heart Council decided to provide palliative treatment by nonsurgical management. His status deteriorated for the next few days and the patient succumbed to a cardiac arrest on the 4th day.


Assuntos
Humanos , Masculino , Histiocitoma Fibroso Maligno/patologia , Neoplasias Cardíacas/patologia , Imageamento por Ressonância Magnética , Ecocardiografia , Tomografia Computadorizada por Raios X , Prolapso da Valva Tricúspide/patologia , Prolapso da Valva Tricúspide/diagnóstico por imagem , Angiografia Coronária , Evolução Fatal , Doenças Raras , Histiocitoma Fibroso Maligno/diagnóstico por imagem , Átrios do Coração/patologia , Átrios do Coração/diagnóstico por imagem , Neoplasias Cardíacas/diagnóstico por imagem , Recidiva Local de Neoplasia
6.
Rev. Assoc. Med. Bras. (1992, Impr.) ; Rev. Assoc. Med. Bras. (1992, Impr.);63(11): 950-952, Nov. 2017. graf
Artigo em Inglês | LILACS | ID: biblio-896316

RESUMO

Summary Malignant fibrous histiocytoma is a rare tumor. It is most commonly seen in individuals between the fifth and seventh decades of life, in extremities, and less frequently in the retroperitoneum. Although its etiology is not clearly known, radiotherapy, chemical agents, previous history of surgery, trauma and fracture, and Hodgkin lymphoma have been blamed. Leiomyosarcoma, liposarcoma and rhabdomyosarcoma should be taken into account in differential diagnosis. It is seen on computed tomography as a mass lesion with irregular borders and density similar to that of the surrounding muscle tissue. Necrotic and hemorrhagic components in the mass are characterized as heterogeneous low density areas. Fluid-fluid levels can be detected by computed tomography and magnetic resonance imaging.


Assuntos
Humanos , Feminino , Histiocitoma Fibroso Maligno/diagnóstico por imagem , Rabdomiossarcoma/diagnóstico por imagem , Imageamento por Ressonância Magnética , Tomografia Computadorizada por Raios X , Diagnóstico Diferencial , Histiocitoma Fibroso Maligno/terapia , Leiomiossarcoma/diagnóstico por imagem , Lipossarcoma/diagnóstico por imagem , Pessoa de Meia-Idade
7.
Rev Assoc Med Bras (1992) ; 63(11): 950-952, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29451657

RESUMO

Malignant fibrous histiocytoma is a rare tumor. It is most commonly seen in individuals between the fifth and seventh decades of life, in extremities, and less frequently in the retroperitoneum. Although its etiology is not clearly known, radiotherapy, chemical agents, previous history of surgery, trauma and fracture, and Hodgkin lymphoma have been blamed. Leiomyosarcoma, liposarcoma and rhabdomyosarcoma should be taken into account in differential diagnosis. It is seen on computed tomography as a mass lesion with irregular borders and density similar to that of the surrounding muscle tissue. Necrotic and hemorrhagic components in the mass are characterized as heterogeneous low density areas. Fluid-fluid levels can be detected by computed tomography and magnetic resonance imaging.


Assuntos
Histiocitoma Fibroso Maligno/diagnóstico por imagem , Diagnóstico Diferencial , Feminino , Histiocitoma Fibroso Maligno/terapia , Humanos , Leiomiossarcoma/diagnóstico por imagem , Lipossarcoma/diagnóstico por imagem , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Rabdomiossarcoma/diagnóstico por imagem , Tomografia Computadorizada por Raios X
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