Open AccessMyxofibrosarcoma of the scalp with difficult preoperative diagnosis: A case report and review of the literature
Author(s) -
Xiao-Ting Ke,
Xiong-Feng Yu,
Jiyang Liu,
Fang Huang,
Mei-Gui Chen,
Qing-Quan Lai
Publication year - 2020
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v8.i11.2350
Subject(s) - medicine , scalp , myxofibrosarcoma , magnetic resonance imaging , radiology , lesion , biopsy , radiation therapy , neoplasm , pathology , surgery , soft tissue
A myxofibrosarcoma (MFS) is a malignant fibroblastic tumor that tends to occur in the lower and upper extremities. The reported incidence of head and neck MFSs is extremely rare. We report a 46-year-old male with "a neoplasm in the scalp" who was hospitalized and diagnosed with an MFS (highly malignant with massive necrotic lesions) based on histologic and immunohistochemistry evaluations. The magnetic resonance imaging manifestations did not demonstrate the "tail sign" mentioned in several studies, which resulted in a great challenge to establish an imaging diagnosis. The treatment plan is closely associated with the anatomic location and histologic grade, and more importantly, aggressive surgery and adjuvant radiotherapy may be helpful. Hence, we report the case and share some valuable information about the disease.