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Malignant fibrous histiocytoma of the scalp. Multidisciplinary treatment
Author(s) -
Camacho Francisco M.,
Moreno Jose C.,
Murga Manuel,
Proaño Jorge,
Cantillana Jose,
Naranjo Manuel,
MartínezSahuquillo Angel,
Macher Gustavo,
Romero Francisco
Publication year - 1999
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/j.1468-3083.1999.tb00880.x
Subject(s) - medicine , scalp , lesion , surgery , dermatology , radiology
Background Malignant fibrous histiocytomas (MFH) are uncommon in the skin, and even less frequent on the scalp. On the scalp they are often very difficult to excise and it is even more difficult to close the resulting wound. Objective To review all malignant fibrous histiocytomas diagnosed and treated in our Department during the past 6 years, and to describe the multidisciplinary procedure employed to treat one special case of aggressive malignant fibrous histiocytoma on the scalp that recurred twice. Result Malignant fibrous histiocytomas represent 0.01% of malignant cutaneous tumors in our area. The immediate results after a multidisciplinary treatment performed on a recurrent malignant fibrous histiocytoma located on the scalp were excellent, but recurrence was observed 6 months later. Two years later we have also treated another case of MFH on the scalp. The same surgical technique was performed, but the patient received high‐dose‐methotrexate‐based neoadjuvant chemotherapy (HD‐MTX). One year later, this patient is still alive and no signs of recurrence have been detected. Conclusion When malignant fibrous histiocytoma occurs on the scalp it must be treated immediately by means of an excision with a large peripheral edge of 2 cm from the visual or CAT limits of the lesion, since the first treatment must be definitive.