Atypical Fibroxanthoma of Scalp Involving Occipital Bone.
- Author:
Yong Woo JO
1
;
So Young LIM
;
Goo Hyun MUN
;
Won Sok HYON
;
Sa Ik BANG
;
Kap Sung OH
Author Information
1. Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University of Medicine, Seoul, Korea. sy72.lim@samsung.com
- Publication Type:Case Report
- Keywords:
Atypical fibroxanthoma;
Occipital area
- MeSH:
Adult;
Aged;
Female;
Fibroblasts;
Follow-Up Studies;
Giant Cells;
Head;
Humans;
Neck;
Neoplasm Metastasis;
Occipital Bone*;
Recurrence;
Sarcoma;
Scalp*;
Skin;
Tissue Donors;
Ulcer;
Wounds and Injuries
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2006;33(3):383-387
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Atypical fibroxanthoma is a pleomorphic spindle cell neoplasm characterized by a variable combination of cells with fibroblastic and histiocytic features. It occurs mostly on sun-exposed area of the head and neck of elderly person and is a clinically benign reactive lesion despite apparent malignant histologic features. However, because of its potential for metastasis, it is widely regarded as a low-grade sarcoma. We report a 30-year-old woman with atypical fibroxanthoma developed on the left occipital area. The lesion was 1.5 x 2 cm sized papule. There was no skin lesion such as ulcer or eschar. However, mass was involving occipital bone and composed of dense, pleomorphic spindle cells and several bizarre multinucleated giant cells. After wide excision of the scalp and occipital bone, the defect was covered with bone cement, bipedicled local flap and the donor site was covered with STSG. The wound healed completely without complication. It remained free of recurrence for a period of about 1 year follow up.
