Myxofibrosarcoma is a malignant soft tissue tumour. It is classified as a type of a fibroblastic/myofibroblastic tumour.
Previously known as a myxoid variant of malignant fibrous histiocytoma 7.
Typically presents in older patients (6th decade) 3. There may be male predilection. Although rare in general, it is considered the most common soft tissue tumour to present in late adult life.
Patients often present with a painless enlarging soft tissue mass in the extremities.
Tends to favour the dermal and subcutaneous tissues than deeper soft tissues 1,5,7:
- lower limbs (~77%)
- trunk (~12%)
- retroperitoneum/mediastinum (~8%)
- head and neck (3-10%)
In contrast to most other histologic types of low-grade soft-tissue sarcoma, recurrent low-grade myxofibrosarcomas are often infiltrative; shows tapering, have tail-like margins with superficial spreading configuration and can even metastasize to various distant sites 3.
Myxofibrosarcoma often shows abnormal signal infiltration along the fascial plane on MRI 2.
- T1: the myxoid component is often of low signal
- T2/STIR: the myxoid component is high signal
- T1 C+ (Gd): the myxoid component tends not to enhance while the remaining soft tissue component enhances
Treatment and prognosis
Prognosis will somewhat depend on grade 7.
- 1. Wada T, Hasegawa T, Nagoya S et-al. Myxofibrosarcoma with an infiltrative growth pattern: a case report. Jpn. J. Clin. Oncol. 2000;30 (10): 458-62. doi:10.1093/jjco/hyd115 - Pubmed citation
- 2. Kaya M, Wada T, Nagoya S et-al. MRI and histological evaluation of the infiltrative growth pattern of myxofibrosarcoma. Skeletal Radiol. 2008;37 (12): 1085-90. doi:10.1007/s00256-008-0542-4 - Pubmed citation
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- 4. Wu YC, Hsieh TC, Kao CH et-al. Thallium-201 scintigraphy of myxofibrosarcoma. Clin Nucl Med. 2009;34 (12): 943-5. doi:10.1097/RLU.0b013e3181becf2a - Pubmed citation
- 5. Clarke LE, Zhang PJ, Crawford GH et-al. Myxofibrosarcoma in the skin. J. Cutan. Pathol. 2008;35 (10): 935-40. doi:10.1111/j.1600-0560.2007.00922.x - Pubmed citation
- 6. Dell'Aversana Orabona G, Iaconetta G, Abbate V et-al. Head and neck myxofibrosarcoma: a case report and review of the literature. J Med Case Rep. 2014;8 (1): 468. doi:10.1186/1752-1947-8-468 - Free text at pubmed - Pubmed citation
- 7. Dell'Aversana Orabona G, Iaconetta G, Abbate V et-al. Head and neck myxofibrosarcoma: a case report and review of the literature. J Med Case Rep. 2014;8 (1): 468. doi:10.1186/1752-1947-8-468 - Free text at pubmed - Pubmed citation