Low-grade fibrosarcoma of the proximal humerus

Tsuyoshi Saito, Yoshinao Oda, Kazuhiro Tanaka, Shuichi Matsuda, Akio Sakamoto, Hidetaka Yamamoto, Yukihide Iwamoto, Masazumi Tsuneyoshi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

We present the clinical, radiographical and pathological features of low-grade fibrosarcoma of the left proximal humerus in a 23-year-old man in whom it was necessary to distinguish the tumor from desmoplastic fibroma, malignant fibrous histiocytoma and intramedullary well-differentiated osteosarcoma. The patient presented with a 10-day history of pain in his left upper arm sustained when trying to break his fall with his left hand when slipping in the street. Plain radiography revealed an expanding multilobular osteolytic lesion from the proximal metaphysis to the diaphysis of his left humerus, accompanied by a pathological fracture at the distal portion of the lesion. Open biopsy of the lesion was performed twice; however, a conclusive diagnosis could not be obtained. The patient underwent wide excision and prosthetic replacement of the left proximal humerus. Histologically, the resected tumor was composed of both cellular areas and hypocellular areas. Cellular areas revealed a proliferation of bundles of uniform fibroblastic spindle-shaped cells with minimal cellular atypia, mixed with abundant intercellular collagenization. Mitotic figures were occasionally seen. Hypocellular areas showed myxoid features with loose bundles of collagen fibers. The patient demonstrates no evidence of disease 42 months after surgery. It is important to detect the scant atypical cells for the differential diagnosis of low-grade fibrosarcoma and desmoplastic fibroma of bone.

Original languageEnglish
Pages (from-to)115-120
Number of pages6
JournalPathology International
Volume53
Issue number2
DOIs
Publication statusPublished - Feb 1 2003

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Fibrosarcoma
Humerus
Desmoplastic Fibroma
Malignant Fibrous Histiocytoma
Diaphyses
Spontaneous Fractures
Osteosarcoma
Radiography
Neoplasms
Arm
Differential Diagnosis
Collagen
Hand
Biopsy
Bone and Bones
Pain

All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine

Cite this

Saito, T., Oda, Y., Tanaka, K., Matsuda, S., Sakamoto, A., Yamamoto, H., ... Tsuneyoshi, M. (2003). Low-grade fibrosarcoma of the proximal humerus. Pathology International, 53(2), 115-120. https://doi.org/10.1046/j.1440-1827.2003.01440.x

Low-grade fibrosarcoma of the proximal humerus. / Saito, Tsuyoshi; Oda, Yoshinao; Tanaka, Kazuhiro; Matsuda, Shuichi; Sakamoto, Akio; Yamamoto, Hidetaka; Iwamoto, Yukihide; Tsuneyoshi, Masazumi.

In: Pathology International, Vol. 53, No. 2, 01.02.2003, p. 115-120.

Research output: Contribution to journalArticle

Saito, T, Oda, Y, Tanaka, K, Matsuda, S, Sakamoto, A, Yamamoto, H, Iwamoto, Y & Tsuneyoshi, M 2003, 'Low-grade fibrosarcoma of the proximal humerus', Pathology International, vol. 53, no. 2, pp. 115-120. https://doi.org/10.1046/j.1440-1827.2003.01440.x
Saito, Tsuyoshi ; Oda, Yoshinao ; Tanaka, Kazuhiro ; Matsuda, Shuichi ; Sakamoto, Akio ; Yamamoto, Hidetaka ; Iwamoto, Yukihide ; Tsuneyoshi, Masazumi. / Low-grade fibrosarcoma of the proximal humerus. In: Pathology International. 2003 ; Vol. 53, No. 2. pp. 115-120.
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