A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report

Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Wang, Jie [verfasserIn] Zhong, Weiming Xu, Yinghui Feng, Le Li, Yang Dong, Bin

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2014

Schlagwörter:	Malignant fibrous histiocytoma Sarcoma Scalp

Anmerkung:	© Wang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (

Übergeordnetes Werk:	Enthalten in: Journal of medical case reports - London : BioMed Central, 2007, 8(2014), 1 vom: 13. Feb.
Übergeordnetes Werk:	volume:8 ; year:2014 ; number:1 ; day:13 ; month:02

Links:	Volltext

DOI / URN:	10.1186/1752-1947-8-50

Katalog-ID:	SPR031057802

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520			\|a Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. Because malignant fibrous histiocytoma of the scalp has a high degree of malignancy and readily recurs in situ, early diagnosis and radical surgical resection are key to a successful outcome.
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allfields	10.1186/1752-1947-8-50 doi (DE-627)SPR031057802 (SPR)1752-1947-8-50-e DE-627 ger DE-627 rakwb eng Wang, Jie verfasserin aut A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License ( Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. Because malignant fibrous histiocytoma of the scalp has a high degree of malignancy and readily recurs in situ, early diagnosis and radical surgical resection are key to a successful outcome. Malignant fibrous histiocytoma (dpeaa)DE-He213 Sarcoma (dpeaa)DE-He213 Scalp (dpeaa)DE-He213 Zhong, Weiming aut Xu, Yinghui aut Feng, Le aut Li, Yang aut Dong, Bin aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 13. Feb. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:13 month:02 https://dx.doi.org/10.1186/1752-1947-8-50 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 13 02
spelling	10.1186/1752-1947-8-50 doi (DE-627)SPR031057802 (SPR)1752-1947-8-50-e DE-627 ger DE-627 rakwb eng Wang, Jie verfasserin aut A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License ( Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. Because malignant fibrous histiocytoma of the scalp has a high degree of malignancy and readily recurs in situ, early diagnosis and radical surgical resection are key to a successful outcome. Malignant fibrous histiocytoma (dpeaa)DE-He213 Sarcoma (dpeaa)DE-He213 Scalp (dpeaa)DE-He213 Zhong, Weiming aut Xu, Yinghui aut Feng, Le aut Li, Yang aut Dong, Bin aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 13. Feb. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:13 month:02 https://dx.doi.org/10.1186/1752-1947-8-50 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 13 02
allfields_unstemmed	10.1186/1752-1947-8-50 doi (DE-627)SPR031057802 (SPR)1752-1947-8-50-e DE-627 ger DE-627 rakwb eng Wang, Jie verfasserin aut A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License ( Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. Because malignant fibrous histiocytoma of the scalp has a high degree of malignancy and readily recurs in situ, early diagnosis and radical surgical resection are key to a successful outcome. Malignant fibrous histiocytoma (dpeaa)DE-He213 Sarcoma (dpeaa)DE-He213 Scalp (dpeaa)DE-He213 Zhong, Weiming aut Xu, Yinghui aut Feng, Le aut Li, Yang aut Dong, Bin aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 13. Feb. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:13 month:02 https://dx.doi.org/10.1186/1752-1947-8-50 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 13 02
allfieldsGer	10.1186/1752-1947-8-50 doi (DE-627)SPR031057802 (SPR)1752-1947-8-50-e DE-627 ger DE-627 rakwb eng Wang, Jie verfasserin aut A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License ( Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. Because malignant fibrous histiocytoma of the scalp has a high degree of malignancy and readily recurs in situ, early diagnosis and radical surgical resection are key to a successful outcome. Malignant fibrous histiocytoma (dpeaa)DE-He213 Sarcoma (dpeaa)DE-He213 Scalp (dpeaa)DE-He213 Zhong, Weiming aut Xu, Yinghui aut Feng, Le aut Li, Yang aut Dong, Bin aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 13. Feb. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:13 month:02 https://dx.doi.org/10.1186/1752-1947-8-50 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 13 02
allfieldsSound	10.1186/1752-1947-8-50 doi (DE-627)SPR031057802 (SPR)1752-1947-8-50-e DE-627 ger DE-627 rakwb eng Wang, Jie verfasserin aut A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License ( Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. Because malignant fibrous histiocytoma of the scalp has a high degree of malignancy and readily recurs in situ, early diagnosis and radical surgical resection are key to a successful outcome. Malignant fibrous histiocytoma (dpeaa)DE-He213 Sarcoma (dpeaa)DE-He213 Scalp (dpeaa)DE-He213 Zhong, Weiming aut Xu, Yinghui aut Feng, Le aut Li, Yang aut Dong, Bin aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 8(2014), 1 vom: 13. Feb. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:8 year:2014 number:1 day:13 month:02 https://dx.doi.org/10.1186/1752-1947-8-50 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2014 1 13 02
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This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. 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author	Wang, Jie
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topic_title	A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report Malignant fibrous histiocytoma (dpeaa)DE-He213 Sarcoma (dpeaa)DE-He213 Scalp (dpeaa)DE-He213
topic	misc Malignant fibrous histiocytoma misc Sarcoma misc Scalp
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title	A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report
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title_full	A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report
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title_sort	primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report
title_auth	A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report
abstract	Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. Because malignant fibrous histiocytoma of the scalp has a high degree of malignancy and readily recurs in situ, early diagnosis and radical surgical resection are key to a successful outcome. © Wang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (
abstractGer	Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. Because malignant fibrous histiocytoma of the scalp has a high degree of malignancy and readily recurs in situ, early diagnosis and radical surgical resection are key to a successful outcome. © Wang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (
abstract_unstemmed	Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. Because malignant fibrous histiocytoma of the scalp has a high degree of malignancy and readily recurs in situ, early diagnosis and radical surgical resection are key to a successful outcome. © Wang et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (
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title_short	A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report
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This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction A malignant fibrous histiocytoma occurring on the scalp near a primary operation site is extremely rare. Case presentation A 74-year-old Chinese man presented with a one-month history of recurrent headaches, vomiting and left limb atony. He had undergone a successful clipping operation through the pterional approach for an anterior communicating aneurysm five years previously. One month before presentation, he developed a headache without apparent cause that was especially severe in the right frontal region. He also had a small tumor on the right side of his forehead at the original incision site. The tumor had gradually increased from soybean size to egg size in one month; this growth was accompanied by nausea, projectile vomiting of gastric contents and left limb atony. The subcutaneous tumor was totally resected along with some affected cranial tissues. Our patient’s postoperative recovery was good, and he was safely discharged 20 days after the surgery. He was free of recurrence over two years of follow-up. Conclusions Dissection of the temporal muscles and deep fascia using electric resection and electrocoagulation through the pterional approach may cause tissue degeneration, which may in turn lead to cancer development. In our patient’s case, the reason for the development of the tumor five years after his surgical aneurysm repair was unclear; it may have represented a primary malignant fibrous histiocytoma of the scalp that had no relationship to the operation. We followed up our patient for two years and he had no tumor recurrence. 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A primary malignant fibrous histiocytoma of the scalp and intracranial tumor bleeding: a case report

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