A Resected Case of Malignant Fibrous Histiocytoma of the Liver

Daisuke Wada, Shigetoshi Morimoto, Masaru Tsuyuguchi, Naoomi Tanaka, Yasuhide Soonaka, Tsuneo fukumoto, Shinichi Yamasaki, Shunsuke Niki

Department of Surgery, Tokushima Municipal Hospital

A 71-year-old man was admitted to our hospital for evaluation of fever and general fatigue. Abdominal ultrasonography and computed tomography revealed a tumor in the left lobe of the liver. Arteriography demonstrated a slightly hypervascular, tumor-staining mass in the left lobe of the liver. At surgery, a tumor arising in the left lobe of the liver and invading the left diaphragm was detected. Resection of the left lobe with partial resection of the left diaphragm were performed following diagnosis of malignant fibrous histiocytoma. The tumor was 20 cm×10 cm×13 cm in size, weighed 1300 gm, was yellowish-white in color, and contained necrosis and abscesses. Histological diagnosis of the resected tumor revealed the inflammatory type of malignant fibrous histiocytoma. The patient is alive 6 months after operation. Malignant fibrous histiocytoma of the liver is extremely rare, and only 22 cases have been reported to date. Here, we report this rare case with a review of the literature.

Key words
malignant fibrous histiocytoma, liver

Reprint requests
Daisuke Wada Department of Surgery, Tokushima Municipal Hospital
2-34 Kitazyosanjima-cho, Tokushima, 770-0812 JAPAN

Accepted
April 22, 1998

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