Successful management of a recurrent primary malignant fibrous histiocytoma of the lung: report of a case

Abstract

We describe herein an extremely rare case of a recurrent primary pulmonary malignant fibrous histiocytoma 3 months after operation that occurred in a 55-year-old man who was treated with chemotherapy and radiotherapy successfully. Until now, 36 months later, the patient has shown no evidence of tumor recurrence. The clinical, radiographic, and pathologic features are reported here together with a brief review of the literature.

Keywords: Chemotherapy; Histiocytoma; Lung neoplasms; Surgery.

Fig. 1

Computed tomography scan of chest shows (A) about 5×4 cm lobulated mass arising superior segmental bronchus in lower lobe with (B) interlobar pulmonary artery invasion (arrow). (C) The tumor was composed of pleomorphic, spindle-shaped cells arranged in a storiform pattern (H&E, ×40).

Fig. 2

Positron emission tomography-computed tomography images showing a local relapse of a tumor in postpneumonectomy space with an increased uptake (arrows).