Malignant fibrous histiocytoma of the thigh

Case contributed by Saeed Soltany Hosn
Diagnosis almost certain

Presentation

Painless right upper thigh mass.

Patient Data

Age: 65 years
Gender: Male

MRI demonstrates a well-circumscribed soft tissue mass in the anterior compartment of the right thigh which is hypointense on T1WI and hyperintense on T2WI and shows irregular thick ring-type contrast enhancement. There is no evidence of femoral cortical invasion.

Case Discussion

He underwent surgery, with the mass resected, and the pathology confirmed malignant fibrous histiocytoma (which has more recently been classified as pleomorphic undifferentiated sarcoma).

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