A Case Report of Malignant Fibrous Histiocytoma of the Liver -Report of a Case-

Hirohide Iwata, Kanji Miyata, Tatsuo Hattori, Yoichiro Kobayashi, Shinji Fukata, Norihiro Yuasa, Keitaro Kamei, Yasuhiro Kurumiya, Yuji Hayashi, Yasuhiro Koide, Junji Washizu

Department of Surgery, Japanese Red Cross Nagoya First Hospital

The patient, a 2O-year-old man, was admitted with a complaint of high fever, Laboratory findings revealed raised platelets and erythrocyte sedimentation rate, elevated serum cross-reactive protein, and alkaline phosphatase. Abdominal ultrasonography revealed a hypoechoic mass localized in the right posterior lobe of the liver. Abdominal computed tomography disclosed it as a low density area. Celiac arteriography revealed a hypovascular tumor in the liver. Right posterior segmentectomy of the liver was performed. The tumor was clearly distinguished from normal liver tissue, colored yellowish white and measured 5 cm in diameter. Histopathologically the tumor was diagnosed as the inflammatory type of malignant fibrous histiocytoma. Fever disappeared and laboratory findings became normal after the resection. Malignant fibrous histiocytoma rarely arises in the liver. Our case is the 20th in the literature.

Key words
liver tumor, malignant fibrous histiocytoma

Reprint requests
Hirohide Iwata Department of Surgery, Japanese Red Cross Nagoya First Hospital
3-35 Michishita-cho, Nakamura-ku, Nagoya, 453 JAPAN

Accepted
September 13, 1995

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