Angiomatoid fibrous histiocytoma: Report of two cases, initially construed as sarcoma with unusual clinico-pathological features

Indian J Pathol Microbiol. 2022 Oct-Dec;65(4):921-924. doi: 10.4103/ijpm.ijpm_1468_20.

Abstract

Angiomatoid fibrous histiocytoma (AFH) is a rare soft tissue tumor of uncertain differentiation with low metastatic potential, most commonly occurring in children, adolescents, and young adults, involving extremities. Due to its rare nature and diverse presentation, both clinically and morphologically, it is often misdiagnosed. It becomes important to correctly diagnose this lesion, given its distinct therapeutic implications. Here, we present the clinical, radiologic, and pathologic findings of two rare cases of AFH. Since AFH is a rare soft tissue tumor with low malignant potential, both pathologists and clinicians should be aware of this entity, when encountered with a soft tissue mass in extremities of a child or adolescent, so as to accord appropriate treatment in such cases.

Keywords: Angiomatoid fibrous histiocytoma; EWSR1-ATF1; EWSR1-CREB1.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Child
  • Histiocytoma, Benign Fibrous*
  • Histiocytoma, Malignant Fibrous* / diagnosis
  • Histiocytoma, Malignant Fibrous* / pathology
  • Humans
  • Soft Tissue Neoplasms* / diagnosis
  • Soft Tissue Neoplasms* / pathology
  • Young Adult

Supplementary concepts

  • Histiocytoma, Angiomatoid Fibrous