Plexiform fibrohistiocytic tumor on the chest of a 5-year-old child and review of the literature

Pediatr Dermatol. 2019 Jul;36(4):490-496. doi: 10.1111/pde.13805. Epub 2019 Mar 11.

Abstract

Plexiform fibrohistiocytic tumor (PFT) is a rare neoplasm of mesenchymal origin that can be identified by its propensity for children and adolescents combined with a characteristic histologic arrangement of histiocytes and osteoclast-like giant cells whorled within tumor islands. A 5-year-old female presented with a raised, intermittently tender, and slowly enlarging tumor on her chest, which was histologically confirmed to be a PFT. We present this case along with a comprehensive review of PFT cases reported in the literature to describe the demographic, histologic, and rarely metastatic behavior of this entity. It is important to include PFT on the differential diagnosis of an enlarging tumor in the pediatric population.

Keywords: dermatopathology; lumps/bumps; neoplasms-benign.

Publication types

  • Case Reports

MeSH terms

  • Biopsy, Needle
  • Child, Preschool
  • Dermatologic Surgical Procedures / methods*
  • Female
  • Histiocytoma, Malignant Fibrous / diagnosis
  • Histiocytoma, Malignant Fibrous / pathology*
  • Histiocytoma, Malignant Fibrous / surgery*
  • Humans
  • Immunohistochemistry
  • Neoplasm Invasiveness / pathology
  • Neoplasm Staging
  • Prognosis
  • Skin Neoplasms / diagnosis
  • Skin Neoplasms / pathology*
  • Skin Neoplasms / surgery*
  • Thoracic Wall / pathology
  • Treatment Outcome