Synonyms
Dermatofibroma; Sclerosing hemangioma
Definition
Benign fibrous histiocytoma is a cutaneous tumor with predominantly dermal involvement, mainly composed of cells with fibro-histiocytic differentiation.
Clinical Features
Incidence
In general, BFH is a very common neoplasm, but involvement of the scrotum and the penis is exceedingly rare (Dehner and Smith 1970; Kinoshita et al. 1985; Huan et al. 2003).
Age
It may occur at any age, but it is most common in adults.
Treatment
The treatment of choice is surgical excision.
Outcome
Complete surgical excision is usually curative.
Macroscopy
BFH appears as a firm, non-encapsulated lesion of the dermis, with white to yellow cut surface. Cystic changes and hemorrhage may be present.
Microscopy
Histologically, there is a dermal-centered proliferation of bland spindle fibroblast-like cells and of histiocytoid cells, entrapping thick collagen fibers, especially at the periphery of the tumor (Fig. 1). The overlying epidermis is hyperplastic...
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Dehner, L. P., & Smith, B. H. (1970). Soft tissue tumors of the penis. A clinicopathologic study of 46 cases. Cancer, 25, 1431–1447.
Huan, Y., Vapnek, J., & Unger, P. D. (2003). Atypical fibrous histiocytoma of the scrotum. Annals of Diagnostic Pathology, 7, 370–373.
Kinoshita, H., Okada, K., Nagata, Y., & Kawamura, N. (1985). Fibrous histiocytoma of penis. Urology, 25, 544–546.
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Franchi, A. (2020). Benign Fibrous Histiocytoma. In: Raspollini, M.R., Lopez-Beltran, A. (eds) Uropathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-030-41894-6_4785
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DOI: https://doi.org/10.1007/978-3-030-41894-6_4785
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Publisher Name: Springer, Cham
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