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Postirradiation Malignant Fibrous Histiocytoma

Postirradiation Malignant Fibrous Histiocytoma Abstract • A slowly growing, firm, asymptomatic tumor developed in the skin overlying the left scapula of a 72-year-old woman during a six-month period. Twenty-seven years earlier, she had radiation treatment to that site for an intraductal carcinoma of the left breast. The histopathologic diagnosis was malignant fibrous histiocytoma (MFH). The rarity of this late complication of radiation therapy is reflected by a few reports in the medical literature of cutaneous MFH as late radiation sequelae. (Arch Dermatol 1985;121:535-538) References 1. Frieben A: Cancroid des rechten Handrueckens . Fortschr Geb Rontgenstr Nuklearmed Erganzungsband 1902;6:106. 2. Beck A: Zur Frage des Roentgensarkoms; zugleich ein Beitrag zur Pathogenese des Sarkoms . MMW 1922;69:623-625. 3. Tanaka T, Miwa H, Orita K, et al: Post-irradiation sarcoma (malignant fibrous histiocytoma) in the inguinal region . Acta Pathol Jpn 1982;32:173-182. 4. Hardy TJ, An T, Brown PW, et al: Post-irradiation sarcoma (malignant fibrous histiocytoma) of the axilla . Cancer 1978;42:118-124.Crossref 5. United Nations Scientific Committee on the Effect of Atomic Radiation: Ionizing Radiation: Levels and Effects . New York, United Nations, 1972, vol 2, pp 420-421. 6. Kim JH, Chu FC, Woodward HQ, et al: Radiation-induced soft tissue and bone sarcomas . Radiology 1978;129:501-508. 7. Warren S: Radiation as a carcinogen . Presented as the Niels Dungal Memorial Lecture, University of Iceland, Reykjavik, July 26, 1968 . 8. Martland S: The occurrence of malignancy in radioactive persons . Am J Cancer 1931;15:2435-2515. 9. Kuettner H: Zur Frage der Geschwulstentstehung nach Roentgenbestrahlung von Gelenk-und Knochentuberkulosen . Arch Klin Chir 1931;164:5-38. 10. Spiess H: 224Ra-induced tumors in children and adults , in Mays CW, Jee WSS, Lloyd RD, et al (eds): Symposium—Delayed Effects of Bone-Seeking Radionuclides . Salt Lake City, University of Utah Press, 1969. 11. Cahan WC, Woodward HQ, Higginbotham NL, et al: Sarcoma arising in irradiated bone: Report of 11 cases . Cancer 1948;1:3-29.Crossref 12. Okazaki M, Inove S, Ogata K, et al: Post-irradiation malignant fibrous histiocytoma: A case report with a review of post-irradiation sarcoma in the Japanese literature . J Dermatol 1982;9:37-44. 13. Windell ER, Shah NK, Webster JH: Post-irradiation sarcoma of bone and soft tissue . Orthop Clin North Am 1977;8:821-834. 14. Gane NF, Lindup R, Strickland P, et al: Radiation-induced fibrosarcoma . Br J Cancer 1970;24:705-711.Crossref 15. Hatfield PM, Schultz MD: Post-irradiation sarcoma, including five cases after x-ray therapy of breast carcinoma . Radiology 1970;96:593-602. 16. Steiner CG: Post-irradiation sarcoma of the bone . Cancer 1965;18:603-612.Crossref 17. Tsuneyoshi M, Enjojl M: Post-radiation sarcoma (malignant fibrous histiocytoma) following breast carcinoma . Cancer 1979; 45:1419-1423.Crossref 18. Oribe T, Matsuo T, Tomioka T, et al: Malignant fibrous histiocytoma developed in the chest wall following irradiation treatment for breast cancer . Jpn J Cancer Clin 1979;25:1005-1008. 19. Pinkston JA, Sekine I: Post-irradiation sarcoma (malignant fibrous histiocytoma) following cervix cancer . Cancer 1982;49:434-438.Crossref 20. Gonzales-Vitale JC, Slavin RE, McQueen JD: Radiation-induced intracranial malignant fibrous histiocytoma . Cancer 1976;37:2960-2963.Crossref 21. Weiss SW, Enzinger RM: Malignant fibrous histiocytoma . Cancer 1978;41:2250-2266.Crossref 22. Sagerman RH, Cassady JR, Tretter P: Radiation-induced neoplasia following external beam therapy for children with retinoblastoma . AJR 1969;105:529-535.Crossref 23. Angervall L, Johansson S, Kindblom LG, et al: Primary malignant fibrous histiocytoma of bone after radiation . Acta Pathol Microbiol Immunol Scand A 1979;87:437-446. 24. Dahlin DC, Unni KK, Matsuno T: Malignant (fibrous) histiocytoma of the bone—fact or fancy? Cancer 1977;39:1508-1516.Crossref 25. Kearney MM, Soule EH, Ivins JC: Malignant fibrous histiocytoma . Cancer 1980;45:167-178.Crossref 26. Kempson RL, Kyriakos M: Fibroxanthosarcoma of the soft tissues: A type of malignant fibrous histiocytoma . Cancer 1972; 29:961-976.Crossref 27. Goette DK, Detlefs R: Cutaneous post-irradiation angiosarcoma . J Am Acad Dermatol , in press. 28. Stont AP, Lahes R: Tumors of the Soft Tissues . Atlas of Tumor Pathology , Armed Forces Institute of Pathology. Series 2 1967, fascicle (T) . 29. Lever WF, Schaumburg-Lever G: Histopathology of the Skin , ed 6. Philadelphia, JB Lippincott Co, 1983, pp 612-614. 30. Ozello L, Stont AP, Murray MR: Cultural characteristics of malignant histiocytomas and fibrous xanthomas . Cancer 1963; 16:331-344.Crossref 31. Kauffman SL, Stont AP: Histiocytic tumors (fibrous xanthoma and histiocytoma) in children . Cancer 1961;14:469-482.Crossref 32. Fu YS, Gabbiami G, Kaye GI, et al: Malignant soft tissue tumors of probable histiocytic origin (malignant fibrous histiocytoma): General considerations and electron microscopic and tissue culture studies . Cancer 1975;35:705-711.Crossref 33. Hoffman MA, Dickersin GR: Malignant fibrous histiocytoma: an ultrastructural study of 11 cases . Hum Pathol 1983;14:913-922.Crossref 34. Sim FH, Cupps RE, Dahlin DC, et al: Post-radiation sarcoma of the bone . J Bone Joint Surg Am 1972;54:1479-1489. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Postirradiation Malignant Fibrous Histiocytoma

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660040119025
Publisher site
See Article on Publisher Site

Abstract

Abstract • A slowly growing, firm, asymptomatic tumor developed in the skin overlying the left scapula of a 72-year-old woman during a six-month period. Twenty-seven years earlier, she had radiation treatment to that site for an intraductal carcinoma of the left breast. The histopathologic diagnosis was malignant fibrous histiocytoma (MFH). The rarity of this late complication of radiation therapy is reflected by a few reports in the medical literature of cutaneous MFH as late radiation sequelae. (Arch Dermatol 1985;121:535-538) References 1. Frieben A: Cancroid des rechten Handrueckens . Fortschr Geb Rontgenstr Nuklearmed Erganzungsband 1902;6:106. 2. Beck A: Zur Frage des Roentgensarkoms; zugleich ein Beitrag zur Pathogenese des Sarkoms . MMW 1922;69:623-625. 3. Tanaka T, Miwa H, Orita K, et al: Post-irradiation sarcoma (malignant fibrous histiocytoma) in the inguinal region . Acta Pathol Jpn 1982;32:173-182. 4. Hardy TJ, An T, Brown PW, et al: Post-irradiation sarcoma (malignant fibrous histiocytoma) of the axilla . Cancer 1978;42:118-124.Crossref 5. United Nations Scientific Committee on the Effect of Atomic Radiation: Ionizing Radiation: Levels and Effects . New York, United Nations, 1972, vol 2, pp 420-421. 6. Kim JH, Chu FC, Woodward HQ, et al: Radiation-induced soft tissue and bone sarcomas . Radiology 1978;129:501-508. 7. Warren S: Radiation as a carcinogen . Presented as the Niels Dungal Memorial Lecture, University of Iceland, Reykjavik, July 26, 1968 . 8. Martland S: The occurrence of malignancy in radioactive persons . Am J Cancer 1931;15:2435-2515. 9. Kuettner H: Zur Frage der Geschwulstentstehung nach Roentgenbestrahlung von Gelenk-und Knochentuberkulosen . Arch Klin Chir 1931;164:5-38. 10. Spiess H: 224Ra-induced tumors in children and adults , in Mays CW, Jee WSS, Lloyd RD, et al (eds): Symposium—Delayed Effects of Bone-Seeking Radionuclides . Salt Lake City, University of Utah Press, 1969. 11. Cahan WC, Woodward HQ, Higginbotham NL, et al: Sarcoma arising in irradiated bone: Report of 11 cases . Cancer 1948;1:3-29.Crossref 12. Okazaki M, Inove S, Ogata K, et al: Post-irradiation malignant fibrous histiocytoma: A case report with a review of post-irradiation sarcoma in the Japanese literature . J Dermatol 1982;9:37-44. 13. Windell ER, Shah NK, Webster JH: Post-irradiation sarcoma of bone and soft tissue . Orthop Clin North Am 1977;8:821-834. 14. Gane NF, Lindup R, Strickland P, et al: Radiation-induced fibrosarcoma . Br J Cancer 1970;24:705-711.Crossref 15. Hatfield PM, Schultz MD: Post-irradiation sarcoma, including five cases after x-ray therapy of breast carcinoma . Radiology 1970;96:593-602. 16. Steiner CG: Post-irradiation sarcoma of the bone . Cancer 1965;18:603-612.Crossref 17. Tsuneyoshi M, Enjojl M: Post-radiation sarcoma (malignant fibrous histiocytoma) following breast carcinoma . Cancer 1979; 45:1419-1423.Crossref 18. Oribe T, Matsuo T, Tomioka T, et al: Malignant fibrous histiocytoma developed in the chest wall following irradiation treatment for breast cancer . Jpn J Cancer Clin 1979;25:1005-1008. 19. Pinkston JA, Sekine I: Post-irradiation sarcoma (malignant fibrous histiocytoma) following cervix cancer . Cancer 1982;49:434-438.Crossref 20. Gonzales-Vitale JC, Slavin RE, McQueen JD: Radiation-induced intracranial malignant fibrous histiocytoma . Cancer 1976;37:2960-2963.Crossref 21. Weiss SW, Enzinger RM: Malignant fibrous histiocytoma . Cancer 1978;41:2250-2266.Crossref 22. Sagerman RH, Cassady JR, Tretter P: Radiation-induced neoplasia following external beam therapy for children with retinoblastoma . AJR 1969;105:529-535.Crossref 23. Angervall L, Johansson S, Kindblom LG, et al: Primary malignant fibrous histiocytoma of bone after radiation . Acta Pathol Microbiol Immunol Scand A 1979;87:437-446. 24. Dahlin DC, Unni KK, Matsuno T: Malignant (fibrous) histiocytoma of the bone—fact or fancy? Cancer 1977;39:1508-1516.Crossref 25. Kearney MM, Soule EH, Ivins JC: Malignant fibrous histiocytoma . Cancer 1980;45:167-178.Crossref 26. Kempson RL, Kyriakos M: Fibroxanthosarcoma of the soft tissues: A type of malignant fibrous histiocytoma . Cancer 1972; 29:961-976.Crossref 27. Goette DK, Detlefs R: Cutaneous post-irradiation angiosarcoma . J Am Acad Dermatol , in press. 28. Stont AP, Lahes R: Tumors of the Soft Tissues . Atlas of Tumor Pathology , Armed Forces Institute of Pathology. Series 2 1967, fascicle (T) . 29. Lever WF, Schaumburg-Lever G: Histopathology of the Skin , ed 6. Philadelphia, JB Lippincott Co, 1983, pp 612-614. 30. Ozello L, Stont AP, Murray MR: Cultural characteristics of malignant histiocytomas and fibrous xanthomas . Cancer 1963; 16:331-344.Crossref 31. Kauffman SL, Stont AP: Histiocytic tumors (fibrous xanthoma and histiocytoma) in children . Cancer 1961;14:469-482.Crossref 32. Fu YS, Gabbiami G, Kaye GI, et al: Malignant soft tissue tumors of probable histiocytic origin (malignant fibrous histiocytoma): General considerations and electron microscopic and tissue culture studies . Cancer 1975;35:705-711.Crossref 33. Hoffman MA, Dickersin GR: Malignant fibrous histiocytoma: an ultrastructural study of 11 cases . Hum Pathol 1983;14:913-922.Crossref 34. Sim FH, Cupps RE, Dahlin DC, et al: Post-radiation sarcoma of the bone . J Bone Joint Surg Am 1972;54:1479-1489.

Journal

Archives of DermatologyAmerican Medical Association

Published: Apr 1, 1985

References