Atypical Fibroxanthoma of Scalp Involving Occipital Bone

후두골을 침범한 두피의 비전형적 섬유황색종

  • Jo, Yong Woo (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University of Medicine) ;
  • Lim, So Young (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University of Medicine) ;
  • Mun, Goo Hyun (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University of Medicine) ;
  • Hyon, Won Sok (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University of Medicine) ;
  • Bang, Sa Ik (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University of Medicine) ;
  • Oh, Kap Sung (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University of Medicine)
  • 조용우 (성균관대학교 의과대학 성형외과학교실) ;
  • 임소영 (성균관대학교 의과대학 성형외과학교실) ;
  • 문구현 (성균관대학교 의과대학 성형외과학교실) ;
  • 현원석 (성균관대학교 의과대학 성형외과학교실) ;
  • 방사익 (성균관대학교 의과대학 성형외과학교실) ;
  • 오갑성 (성균관대학교 의과대학 성형외과학교실)
  • Received : 2005.12.30
  • Published : 2006.05.10

Abstract

Atypical fibroxanthoma is a pleomorphic spindle cell neoplasm characterized by a variable combination of cells with fibroblastic and histiocytic features. It occurs mostly on sun-exposed area of the head and neck of elderly person and is a clinically benign reactive lesion despite apparent malignant histologic features. However, because of its potential for metastasis, it is widely regarded as a low-grade sarcoma. We report a 30-year-old woman with atypical fibroxanthoma developed on the left occipital area. The lesion was $1.5{\times}2cm$ sized papule. There was no skin lesion such as ulcer or eschar. However, mass was involving occipital bone and composed of dense, pleomorphic spindle cells and several bizarre multinucleated giant cells. After wide excision of the scalp and occipital bone, the defect was covered with bone cement, bipedicled local flap and the donor site was covered with STSG. The wound healed completely without complication. It remained free of recurrence for a period of about 1 year follow up.

Keywords

References

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