31-186
Fibrohistiocitoma maligno óseo tras degeneración de enfermedad de Paget.Caso clínico y revisión de la literatura
Malignant fibrous histiocytoma of bone at a site of paget's disease
D. CECILIA LOPEZ, E. DELGADO DÍAZ. J. A. ZAFRA JIMENEZ, L. CANDEL GARCIA,R. OLAGUIBEL ALVAREZ-VALDES Servicio de Cirugía Ortopédica y Traumatología II. Hospital Doce de Octubre. Madrid.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008
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Resumen (ES)
Malignant fibrous histiocytoma of bone is a rare but highly agressive mesenchimal
tumor. It usually arises as a primary tumor but sometimes it can be associated with pre-existing bone
abnormalities. Histologically it can be missdiagnosed with other tumors. We report a case of malignant
fibrous histiocytoma of bone in the femur in a patient with Paget's disease treated by hip
desarticulation. We didn't use chemotherapy because his elderly status. At 18 months follow up, the
patient is symptom-free and neither local recurrence nor metastasis have been found. A review of
the literature has been carried out.
tumor. It usually arises as a primary tumor but sometimes it can be associated with pre-existing bone
abnormalities. Histologically it can be missdiagnosed with other tumors. We report a case of malignant
fibrous histiocytoma of bone in the femur in a patient with Paget's disease treated by hip
desarticulation. We didn't use chemotherapy because his elderly status. At 18 months follow up, the
patient is symptom-free and neither local recurrence nor metastasis have been found. A review of
the literature has been carried out.
Palabras clave (ES):
EnfermedadPaget
Tumor
Fibrohistiocitoma
Maligno
Óseo
Óseo
Degeneración
Resumen (EN)
Malignant fibrous histiocytoma of bone is a rare but highly agressive mesenchimal
tumor. It usually arises as a primary tumor but sometimes it can be associated with pre-existing bone
abnormalities. Histologically it can be missdiagnosed with other tumors. We report a case of malignant
fibrous histiocytoma of bone in the femur in a patient with Paget's disease treated by hip
desarticulation. We didn't use chemotherapy because his elderly status. At 18 months follow up, the
patient is symptom-free and neither local recurrence nor metastasis have been found. A review of
the literature has been carried out.
tumor. It usually arises as a primary tumor but sometimes it can be associated with pre-existing bone
abnormalities. Histologically it can be missdiagnosed with other tumors. We report a case of malignant
fibrous histiocytoma of bone in the femur in a patient with Paget's disease treated by hip
desarticulation. We didn't use chemotherapy because his elderly status. At 18 months follow up, the
patient is symptom-free and neither local recurrence nor metastasis have been found. A review of
the literature has been carried out.
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