Diagnosis and Treatment of Malignant Fibrous Histiocytoma of Pancreas（A Case Report and Literature Review)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

劉立剛 ¹ , 何曉東 ² , 李玉民 ¹ , 李汛 ¹ , 周文策 ¹ , 朱有權 ¹ , 孟文勃 ¹

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Keywords：

胰腺腫瘤; 惡性纖維組織細胞瘤; 診斷; 治療; 預后

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目的探討胰腺惡性纖維組織細胞瘤的診斷及治療。
方法對蘭州大學第一醫院收治的1例胰腺惡性纖維組織細胞瘤患者，結合國、內外文獻對其臨床特點，影像學、病理學及免疫組化特征、治療和預后進行分析。
結果行胰腺腫瘤切除，術后醫用直線加速器采取三維適形精確放療，隨訪9個月，未見腫瘤復發。
結論胰腺惡性纖維組織細胞瘤惡性度高，易復發、轉移，生存率低，診斷主要依靠病理和免疫組化檢查。外科手術聯合放射治療可延長生存時間和延緩腫瘤的復發。

Citation： 劉立剛,何曉東,李玉民,李汛,周文策,朱有權,孟文勃. Diagnosis and Treatment of Malignant Fibrous Histiocytoma of Pancreas（A Case Report and Literature Review). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(8): 658-660. doi: Copy

1.	Weiss SW, Enzinger FM. Malignant fibrous histiocytoma: an analysis of 200 cases [Ｊ]. Cancer, 1978; 41(6): 2250-2266.
2.	Margules RM, Allen RE, Dunphy JE. Pancreatic tumor of mesenchymal origin presenting as obstructive jaundice [Ｊ]. Am J Surg, 1976; 131(3): 357-359.
3.	Ishiguchi T, Shimamoto K, Kaii O, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Rinsho Hoshasen, 1986; 31(5): 655-658.
4.	Garvey JF, Ng A, England JF, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. HPB Surg, 1989; 1(3): 233-237.
5.	Pascal RR, Sullivan L, Hauser L, et al. Primary malignant fibrous histiocytoma of the pancreas [Ｊ]. Hum Pathol, 1989; 20(12): 1215-1217.
6.	Suster S, Phillips M, Robinson MJ. Malignant fibrous histiocytoma (giant cell type) of the pancreas. A distinctive variant of osteoclast-type giant cell tumor of the pancreas [Ｊ]. Cancer, 1989; 64(11): 2303-2308.
7.	Allen KB, Skandalakis LJ, Brown BC, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Am Surg, 1990; 56(6): 364-368.
8.	Filippini A, Lucci S, Berni A, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. G Chir, 1992; 13(10): 485-488.
9.	Tsujimura T, Kawano K, Taniguchi M, et al. Malignant fibrous histiocytoma coexistent with mucinous cystadenoma of the pancreas [Ｊ]. Cancer, 1992; 70(12): 2792-2796.
10.	Ben Jilani S, el Mezni F, Dziri C, et al. Primary malignant histiocytofibroma of the pancreas. Apropos of a case [Ｊ]. Arch Anat Cytol Pathol, 1993; 41(3-4): 167-170.
11.	Balén EM, De Villa VH, Cienfuegos JA, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Rev Esp Enferm Dig, 1993; 83(6): 475-480.
12.	Haba R, Kobayashi S, Hirakawa E, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Pathol Int, 1996; 46(7): 515-519.
13.	Bastian D, Ramaswamy A, Barth PJ, et al. Malignant fibrous histiocytoma of the pancreas: a case report with genetic analysis [Ｊ]. Cancer, 1999; 85(11): 2352-2358.
14.	Liu DM, Jeffrey RB Jr, Mindelzun RE. Malignant fibrous histiocytoma presenting as cystic pancreatic mass [Ｊ]. Abdom Imaging, 1999; 24(3): 299-300.
15.	宗佩君, 劉愛珍. 胰腺惡性纖維組織細胞瘤一例 [Ｊ]. 中華普通外科雜志, 2001； 16(6): 380.
16.	Mai G, Baer HU, Mittler M, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Pancreas, 2002; 25(3): 320-324.
17.	Darvishian F, Sullivan J, Teichberg S, et al. Carcinosarcoma of the pancreas: a case report and review of the literature [Ｊ]. Arch Pathol Lab Med, 2002; 126(9): 1114-1117.
18.	呂光宏, 潘江峰, 董科, 等. 胰腺惡性纖維組織細胞瘤一例 [Ｊ]. 臨床放射學雜志, 2004; 23(1): 85.
19.	Akatsu T, Tsugita M, Ro S, et al. Primary malignant fibrous histiocytoma of the pancreas: a case with K-ras mutation and a review of the literature [Ｊ]. Dig Dis Sci, 2005; 50(12): 2214-2217.
20.	Yu RS, Wang JW, Chen Y, et al. A case of primary malignant fibrous histiocytoma of the pancreas: CT and MRI findings [Ｊ]. World J Gastroenterol, 2008; 14(18): 2942-2945.
21.	Ozzello L, Stout AP, Murray MR. Cultural characteristics of malignant istiocytomas and fibrous xanthomas [Ｊ]. Cancer, 1963; 16: 331-344.
22.	Erlandson RA, Antonescu CR. The rise and fall of malignant fibrous histiocytoma [Ｊ]. Ultrastruct Pathol, 2004; 28(5-6): 283-289.
23.	Fletcher CDM, Unni KK, Mertens F. World Health Organization Classification of Tumors. Pathology and Genetics of Tumors of Soft Tissue and Bone[Ｍ]. Lyon: IARC Press, 2002: 109-126.
24.	項建斌, 周仲文, 蔡端, 等．腹腔惡性纖維組織細胞瘤6例臨床分析-附10年國內文獻復習 [Ｊ]. 中國臨床醫學, 2004; 11(5): 767-769．.
25.	Anagnostopoulos G, Sakorafas GH, Grigoriadis K, et al. Malignant fibrous histiocytoma of the liver: a case report and review of the literature [Ｊ]. Mt Sinai J Med, 2005; 72(1): 50-52.
26.	Matsumoto S, Ahmed AR, Kawaguchi N, et al. Results of surgery for malignant fibrous histiocytomas of soft tissue [Ｊ]. Int J Clin Oncol, 2003; 8(2): 104-109.

1. Weiss SW, Enzinger FM. Malignant fibrous histiocytoma: an analysis of 200 cases [Ｊ]. Cancer, 1978; 41(6): 2250-2266.
2. Margules RM, Allen RE, Dunphy JE. Pancreatic tumor of mesenchymal origin presenting as obstructive jaundice [Ｊ]. Am J Surg, 1976; 131(3): 357-359.
3. Ishiguchi T, Shimamoto K, Kaii O, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Rinsho Hoshasen, 1986; 31(5): 655-658.
4. Garvey JF, Ng A, England JF, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. HPB Surg, 1989; 1(3): 233-237.
5. Pascal RR, Sullivan L, Hauser L, et al. Primary malignant fibrous histiocytoma of the pancreas [Ｊ]. Hum Pathol, 1989; 20(12): 1215-1217.
6. Suster S, Phillips M, Robinson MJ. Malignant fibrous histiocytoma (giant cell type) of the pancreas. A distinctive variant of osteoclast-type giant cell tumor of the pancreas [Ｊ]. Cancer, 1989; 64(11): 2303-2308.
7. Allen KB, Skandalakis LJ, Brown BC, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Am Surg, 1990; 56(6): 364-368.
8. Filippini A, Lucci S, Berni A, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. G Chir, 1992; 13(10): 485-488.
9. Tsujimura T, Kawano K, Taniguchi M, et al. Malignant fibrous histiocytoma coexistent with mucinous cystadenoma of the pancreas [Ｊ]. Cancer, 1992; 70(12): 2792-2796.
10. Ben Jilani S, el Mezni F, Dziri C, et al. Primary malignant histiocytofibroma of the pancreas. Apropos of a case [Ｊ]. Arch Anat Cytol Pathol, 1993; 41(3-4): 167-170.
11. Balén EM, De Villa VH, Cienfuegos JA, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Rev Esp Enferm Dig, 1993; 83(6): 475-480.
12. Haba R, Kobayashi S, Hirakawa E, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Pathol Int, 1996; 46(7): 515-519.
13. Bastian D, Ramaswamy A, Barth PJ, et al. Malignant fibrous histiocytoma of the pancreas: a case report with genetic analysis [Ｊ]. Cancer, 1999; 85(11): 2352-2358.
14. Liu DM, Jeffrey RB Jr, Mindelzun RE. Malignant fibrous histiocytoma presenting as cystic pancreatic mass [Ｊ]. Abdom Imaging, 1999; 24(3): 299-300.
15. 宗佩君, 劉愛珍. 胰腺惡性纖維組織細胞瘤一例 [Ｊ]. 中華普通外科雜志, 2001； 16(6): 380.
16. Mai G, Baer HU, Mittler M, et al. Malignant fibrous histiocytoma of the pancreas [Ｊ]. Pancreas, 2002; 25(3): 320-324.
17. Darvishian F, Sullivan J, Teichberg S, et al. Carcinosarcoma of the pancreas: a case report and review of the literature [Ｊ]. Arch Pathol Lab Med, 2002; 126(9): 1114-1117.
18. 呂光宏, 潘江峰, 董科, 等. 胰腺惡性纖維組織細胞瘤一例 [Ｊ]. 臨床放射學雜志, 2004; 23(1): 85.
19. Akatsu T, Tsugita M, Ro S, et al. Primary malignant fibrous histiocytoma of the pancreas: a case with K-ras mutation and a review of the literature [Ｊ]. Dig Dis Sci, 2005; 50(12): 2214-2217.
20. Yu RS, Wang JW, Chen Y, et al. A case of primary malignant fibrous histiocytoma of the pancreas: CT and MRI findings [Ｊ]. World J Gastroenterol, 2008; 14(18): 2942-2945.
21. Ozzello L, Stout AP, Murray MR. Cultural characteristics of malignant istiocytomas and fibrous xanthomas [Ｊ]. Cancer, 1963; 16: 331-344.
22. Erlandson RA, Antonescu CR. The rise and fall of malignant fibrous histiocytoma [Ｊ]. Ultrastruct Pathol, 2004; 28(5-6): 283-289.
23. Fletcher CDM, Unni KK, Mertens F. World Health Organization Classification of Tumors. Pathology and Genetics of Tumors of Soft Tissue and Bone[Ｍ]. Lyon: IARC Press, 2002: 109-126.
24. 項建斌, 周仲文, 蔡端, 等．腹腔惡性纖維組織細胞瘤6例臨床分析-附10年國內文獻復習 [Ｊ]. 中國臨床醫學, 2004; 11(5): 767-769．.
25. Anagnostopoulos G, Sakorafas GH, Grigoriadis K, et al. Malignant fibrous histiocytoma of the liver: a case report and review of the literature [Ｊ]. Mt Sinai J Med, 2005; 72(1): 50-52.
26. Matsumoto S, Ahmed AR, Kawaguchi N, et al. Results of surgery for malignant fibrous histiocytomas of soft tissue [Ｊ]. Int J Clin Oncol, 2003; 8(2): 104-109.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Malignant Fibrous Histiocytoma of Pancreas（A Case Report and Literature Review)

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