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

doi:10.3892/mco.2015.618

November-2015 Volume 3 Issue 6

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November-2015 Volume 3 Issue 6

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Case Report Open Access

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

Authors:
- Valerio D'Orazi
- Andrea Panunzi
- Marco Paoloni
- Alice Ortensi
- Silvia Anichini
- Michela Cialini
- Stefano Nardoni
- Paolo Urciuoli
- Vittorio Pasta
- Andrea Ortensi
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Affiliations: Department of General Microsurgery and Hand Surgery, Fabia Mater Hospital, I-00171 Rome, Italy, Biomechanics and Movement Analysis Laboratory, Physical Medicine and Rehabilitation, Sapienza University, I-00161 Rome, Italy, Pathology Service S.A.MAR., I-00167 Rome, Italy, Department of Surgical Sciences, Sapienza University, I-00161 Rome, Italy

Copyright: © D'Orazi et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 1251-1254
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Published online on: July 31, 2015

https://doi.org/10.3892/mco.2015.618
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Abstract

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.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

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

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