Definition
Giant cell fibroblastoma is a rare variant of dermatofibrosarcoma protuberans that affects mainly children in the first decade of life.
Clinical Features
Incidence
Only few cases have been reported in the male external genitalia.
Age
It mainly occurs in children but may also affect adults.
Sex
It involves more frequently male subjects.
Site
Giant cell fibroblastoma may arise in the penis and the scrotum.
Treatment
Treatment is surgical.
Outcome
It is a locally aggressive tumor with tendency to local recurrence. Transformation in fibrosarcoma is exceptional.
Macroscopy
Grossly, giant cell fibroblastoma appears as a firm yellow or gray plaque-like or nodular lesion with rubbery consistency.
Microscopy
Giant cell fibroblastoma involves the dermis and the subcutis, and consists of a proliferation of wavy spindle cells set within a stroma that varies from myxoid to collagenous to sclerotic. The tumor shows infiltrative margins...
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References and Further Reading
Eisner, B. H., McAleer, S. J., Gargollo, P. C., Perez-Atayde, A., Diamond, D. A., & Elder, J. S. (2006). Pediatric penile tumors of mesenchymal origin. Urology, 68, 1327–1330.
Peard, L., Cost, N. G., & Saltzman, A. F. (2018). Dermatofibrosarcoma protuberans in a male infant. Urology,129, 206–209. pii: S0090–4295(18)31135-X.
Woo, L. L., Kuang, W., Zhou, M., & Ross, J. (2006). Giant cell fibroblastoma of the penis. Urology, 68, 427.e5–427.e6.
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Franchi, A. (2019). Giant Cell Fibroblastoma. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_5001-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_5001-1
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