Abstract
We present a rare case of aneurysmal (angiomatoid) fibrous histiocytoma (AAFH) of the skin on the back of a 40-year-old Japanese man. Histologically, the tumor was characterized by massive proliferation of fibroblastic and histiocytic cells, prominent aggregation of hemosiderin pigment, and the presence of blood-filled tissue spaces devoid of an endothelial lining within a capillaryrich stroma. Immunohistochemically the tumor cells were immunoreactive for vimentin and for Factor XIIIa or Mac387. Ultrastructural study revealed that the tumor was composed mainly of fibroblast-like cells intermingled with histiocyte-like cells and intermediate cells with combined features of the two types of cells. These findings support the fibrohistiocytic origin of aneurysmal (angiomatoid) fibrous histiocytoma. In addition, ultrastructural examination seems quite useful to differentiate from other cutaneous neoplasms with architectural and cytological similarities to this tumor.
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Leboit PE, Barr RJ (1994) Smooth-muscle proliferation in dermatofibromas. Am J Dermatopathol 16:155–160
Rentiers PL, Montgomery H (1949) Nodular subepidermal fibrosis (dermatofibroma versus histiocytoma). Arch Dermatol Syphilol 59:568–583
Santa Cruz DJ, Kyriakos M (1981) Aneurysmal (“angiomatoid”) fibrous histiocytoma of the skin. Cancer (Phila) 47:2053–2061
Hsu SM, Raine L, Fanger H (1981) Use of an avidin-biotinperoxidase complex (ABC) in immunoperoxidase techniques: a comparison between ABC and unlabelled antibody (PAP) procedures. J Histochem Cytochem 29:577–580
Sood U, Mehregan AH (1985) Aneurysmal (angiomatoid) fibrous histiocytoma. J Cutaneous Pathol 12:157–162
Kim CJ, Cho JH, Chi JG (1989) Aneurysmal (“angiomatoid”) fibrous histiocytoma in a child. J Korean Med Sci 4:159–162
Yang P, Hirose T, Hasegawa T, Seki K, Hizawa K (1995) Aneurysmal fibrous histiocytoma of the skin. A histological, immunohistochemical, and ultrastructural study. Am J Dermatopathol 17:179–184
Vilanova JR, Flint A (1974) The morphological variations of fibrous histiocytoma. J Cutaneous Pathol 1:155–164
Hairston MA, Reed RJ (1966) Aneurysmal sclerosing hemangioma of skin. Arch Dermatol 93:439–442
Dawson EK (1948) Sclerosing angioma. A non-melanotic pigmented tumor of the skin. Edinb Med J 55:655–674
Rosai J, Gold J, Landy R (1979) The histiocytoid hemangiomas. A unifying concept embracing several previously described entities of skin, soft tissue, large vessels, bone and heart. Hum Pathol 10:707–730
Klaus SN, Winkelmann RK (1966) The enzyme histochemistry of nodular subepidermal fibrosis. Br J Dermatol 78:398–402
Leyva WH, Santa Cruz DJ (1986) Atypical cutaneous fibrous histiocytoma. Am J Dermatopathol 8:467–471
Enzinger FM (1979) Angiomatoid malignant fibrous histiocytoma: a distinctive fibrohistiocytic tumor in children and young adults simulating a vascular neoplasm. Cancer (Phila) 44:2147–2157
Costa MJ, Weiss SW (1990) Angiomatoid malignant fibrous histiocytoma: a follow-up study of 108 cases with evaluation of possible histologic predictors of outcome. Am J Surg Pathol 14:1126–1132
Nunnery EW, Kahn LB, Reddick RL, Lipper S (1981) Hemangiopericytoma: a light microscopic and ultrastructural study. Cancer (Phila) 47:906–914
Kroe OJ, Pitcock JA (1969) Atypical fibroxanthoma of the skin. Am J Clin Pathol 51:487–492
Barr RJ, Wuerker RB, Graham JH (1977) Ultrastructure of atypical fibroxanthoma. Cancer (Phila) 40:736–743
Maddox JC, Evans H (1981) Angiosarcoma of the skin and soft tissue: a study of forty-four cases. Cancer (Phila) 48:1907–1921
Matejka M, Konrad K (1984) Cutaneous angiosarcoma of the face and scalp. Clin Exp Dermatol 9:232–242
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Toyoda, M., Morohashi, M. Aneurysmal (angiomatoid) fibrous histiocytoma of the skin: an unusual variant of dermatofibroma. Med Electron Microsc 30, 163–169 (1997). https://doi.org/10.1007/BF01545318
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DOI: https://doi.org/10.1007/BF01545318