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 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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