Fibrosarcoma in the genial region
Keywords:
fibrosarcoma, fusocellular sarcoma, mesodermic origin malignant neoplasm, neurofibroma, immunohistochemical diagnosis.Abstract
The fibrosarcoma is the more incident mesodermic malignant neoplasm. Authorspresent this clinical case presenting with this entity to emphasize on the
significance of the appropriate diagnostic and therapeutical management for
rehabilitation of these patients. This patient is aged 54 with a history of controlled
high blood pressure (HBT) who over the 23 past years begun to show an increase
of volume in left genial region thus its surgical intervention in 1987, 1991 and 2009
years and came to consultation presenting with a 5 cm diameter lesion with a fast
growth pattern bleeding spontaneously compressing the left ocular globe restricting
the palpebral opening. After the corresponding preoperative study authors
prescribed the surgical treatment obtaining a conclusive diagnosis according to a
immunohistochemical study of the fibrosarcoma of intermediate degree of
differentiation with a marked CD34 (+, focal) immunoreactivity, Vimentin (+,focal).
We conclude that the treatment of this entity is of surgical type, taking into account
the current oncology guidelines and its therapeutical approach must to be
multidisciplinary to achieve the functional and aesthetic rehabilitation of the patient.
The immunohistochemistry is a conclusive diagnostic tool contributing to apply the
appropriate treatment in this type of lesion.
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