Benign Fibrous Histiocytoma of the Lung: A Case Report

A fibrous histiocytoma is a benign tumoral lesion generally localized in the dermis or the superficial subcutaneous tissue. Fibrous histiocytoma of the lung is a very rare tumor, with only a few cases in the literature. We present a case of a 48-year-old man, asymptomatic, with a solitary pulmonary nodule with a high metabolism in PET/TC. Given the location and suspicious hypermetabolism in PET/TC, the patient underwent a wedge resection, with pathological examination concluding on a primary benign fibrous histiocytoma of the lung. Fibrous histiocytoma of the lung can be a difficult diagnosis, with a non-specific clinical history as well as radiologic findings. Hence, histopathological examination remains vital in establishing a definitive diagnosis. Prognosis is generally excellent, as these tumors usually have low recurrence rates after complete excision.

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Publication Details

Published
2024-12-03
DOI
https://doi.org/10.82582/thorac.12
Primary Topic
Sarcoma Diagnosis and Treatment
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article

Benign Fibrous Histiocytoma of the Lung: A Case Report

Sarcoma Diagnosis and Treatment
article

Benign Fibrous Histiocytoma of the Lung: A Case Report

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Abstract

A fibrous histiocytoma is a benign tumoral lesion generally localized in the dermis or the superficial subcutaneous tissue. Fibrous histiocytoma of the lung is a very rare tumor, with only a few cases in the literature. We present a case of a 48-year-old man, asymptomatic, with a solitary pulmonary nodule with a high metabolism in PET/TC. Given the location and suspicious hypermetabolism in PET/TC, the patient underwent a wedge resection, with pathological examination concluding on a primary benign fibrous histiocytoma of the lung. Fibrous histiocytoma of the lung can be a difficult diagnosis, with a non-specific clinical history as well as radiologic findings. Hence, histopathological examination remains vital in establishing a definitive diagnosis. Prognosis is generally excellent, as these tumors usually have low recurrence rates after complete excision.

Instituto Português de Oncologia de Coimbra Francisco Gentil (PT)
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Openalex Percentile: Top 42%
Sarcoma Diagnosis and Treatment
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