An unusual cause of bleeding: angiomatoid fibrous histiocytoma: a case report

Authors

  • Diana S. Matos Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • Juliana Oliveira Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • Luis Claro Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • Rita Lourenço Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • André Lopes Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • Catarina Longras Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • Andreia Santos Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • Carlos Santos Costa Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
  • Carlos Alpoim Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal

DOI:

https://doi.org/10.18203/2349-2902.isj20233682

Keywords:

Angiomatoid fibrous histiocytoma (AFH), Mesenchymal neoplasm, Bleeding, Hepatic subsegmentectomy

Abstract

Angiomatoid fibrous histiocytoma (AFH) is a rare mesenchymal neoplasm that typically affects the skin and subcutaneous tissues. It is often painless and with slow growth. We present a case of a 57-year-old female patient with an unusual lesion diagnosed as AFH, located in the abdominal wall, manifested clinically with bleeding. The patient underwent exploratory laparotomy with an excision of the mass (apparently preperitoneal) and hepatic subsegmentectomy II, for histological exam. This case is noteworthy due to its uncommon location and clinical presentation.

References

Thway K, Fisher C. Angiomatoid fibrous histiocytoma: the current status of pathology and genetics. Arch Pathol Lab Med. 2015;139(5):674-82.

Saito K, Kobayashi E, Yoshida A, Araki Y, Kubota D, Tanzawa Y, et al. Angiomatoid fibrous histiocytoma: a series of seven cases including genetically confirmed aggressive cases and a literature review. BMC Musculoskelet Disord. 2017;18(1):31.

Maqbool H, Bashir S, Hassan U, Hussain M, Mushtaq S, Ishtiaq S. Angiomatoid fibrous histiocytoma: a tumor with uncertain behavior and various clinicopathological presentations. Cureus. 2022;14(9):e28985.

Fanburg-Smith JC, Miettinen M. Angiomatoid "malignant" fibrous histiocytoma: a clinicopathologic study of 158 cases and further exploration of the myoid phenotype. Hum Pathol. 1999;30(11):1336-43.

Cazzato G, Colagrande A, Cimmino A, Silecchia M, Lettini T, Resta L et al. Angiomatoid Fibrous Histiocytoma: Case Presentation with Review of Literature. Osteology. 2021;1(3):112-7.

Calonje E, Fletcher CD. Aneurysmal benign fibrous histiocytoma: clinicopathological analysis of 40 cases of a tumour frequently misdiagnosed as a vascular neoplasm. Histopathology. 1995;26(4):323-31.

Downloads

Published

2023-11-28

Issue

Section

Case Reports