Updated: 10/6/2016

Fibrosarcoma of Soft Tissue

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Introduction
  • A malignant fibrogenic tumor that occurs in patient from 30-80 years of age
    • now considered the same as MFH of soft tissue
Symptoms
  • Presentation
    • usually and enlarging painless mass
    • usually symptoms develop after mass reaches ten cm
Imaging
  • Radiograph
    • are usually normal
  • MRI
    • shows deep seated inhomogeneous mass
Histology
  • Classic characteristics are post
    • fasiculated growth pattern
    • spindle-shaped cells with scant cytoplasm and indistinct borders
    • cells separated by interwoven collagen fibers
    • tissue may be organized in herringbone fashion
Treatment
  • Operative
    • wide local resection with perioperative radiation
      • indications
        • most cases
      • radiation
        • add radiation if tumor is > 5 cm (5000 cGy before resection and 2000 cGy after resection)
      •  local adjuvant treatment
        • may do local adjuvant treatment with phenol or cryotherapy
IBank
  Location
Xray
Xray
CT
B. Scan
MRI
MRI
Histo(1)

Case A

tibia
 
 
(1) - histology does not always correspond to case 


 

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