Korean J Pathol.  2010 Jun;44(3):322-325.

Malignant Fibrous Histiocytoma Arising in a Mature Cystic Teratoma of the Ovary: A Case Report

Affiliations
  • 1Department of Pathology, The Catholic University of Korea College of Medicine, Seoul, Korea. jinyyoo@catholic.ac.kr

Abstract

A 50-year-old female patient presented with anorexia and weight loss. Pelvic computed tomography revealed a 12.5 x 7.3 cm heterogeneous mass in the left ovary. About 30% of the tumor was occupied by a mature cystic teratoma. The remaining solid portion was composed of fibrous and histiocytic elements, arranged in storiform patterns admixed with bizarre giant cells. The mitotic index was 8 per 10 high power fields, including atypical mitoses. The only immunopositivity was for vimentin. The tumor was diagnosed as a malignant fibrous histiocytoma arising in a mature cystic teratoma. To the best of our knowledge, this is only the third such case in the English language literature.

Keyword

Histiocytoma, malignant fibrous; Teratoma; Ovary

MeSH Terms

Anorexia
Female
Giant Cells
Histiocytoma, Malignant Fibrous
Humans
Middle Aged
Mitosis
Mitotic Index
Ovary
Teratoma
Vimentin
Weight Loss
Vimentin
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