Clinical Features and Treatment of Fibrous Histiocytomas of the Tongue: A Systematic Review

Abstract Introduction Benign fibrous histiocytomas are common lesions of the skin that rarely affect the tongue. Such cases are available in the literature exclusively as case reports. Similarly, malignant fibrous histiocytoma, now classified as undifferentiated pleomorphic sarcoma, is...

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Main Authors: Austin Nguyen, Adam Vaudreuil, Paul Haun, Gabriel Caponetti, Christopher Huerter
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2018-01-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1602819
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author Austin Nguyen
Adam Vaudreuil
Paul Haun
Gabriel Caponetti
Christopher Huerter
author_facet Austin Nguyen
Adam Vaudreuil
Paul Haun
Gabriel Caponetti
Christopher Huerter
author_sort Austin Nguyen
collection DOAJ
description Abstract Introduction Benign fibrous histiocytomas are common lesions of the skin that rarely affect the tongue. Such cases are available in the literature exclusively as case reports. Similarly, malignant fibrous histiocytoma, now classified as undifferentiated pleomorphic sarcoma, is exceedingly rare in the tongue and not fully understood. Objectives This study systematically reviews the available literature discussing the clinical and pathological features of malignant and benign fibrous histiocytomas. Data Synthesis A total of 20 cases were included in this review. Patient-level data were extracted from cases to include clinical presentation, workup, treatment, and outcome. Conclusion Benign fibrous histiocytomas are consistent in clinical and histopathologic presentation. Surgical treatment provides excellent outcome, with no recurrence in all excised cases. Malignant tumors have a more aggressive clinical and pathological presentation. Surgical treatment with possible adjuvant radiotherapy resulted in recurrence in 40% of cases (follow-up of 24 months), and death due to disease in 47% of patients (follow-up of 19 months).
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spelling doaj.art-981a637106934fd0aa2ac58b6b87e7d52022-12-22T01:38:32ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642018-01-01220109410210.1055/s-0037-1602819Clinical Features and Treatment of Fibrous Histiocytomas of the Tongue: A Systematic ReviewAustin Nguyen0Adam Vaudreuil1Paul Haun2Gabriel Caponetti3Christopher Huerter4Division of Dermatology, Creighton University School of Medicine, Omaha, Nebraska, United StatesDivision of Dermatology, Creighton University School of Medicine, Omaha, Nebraska, United StatesDepartment of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United StatesDepartment of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United StatesDivision of Dermatology, Creighton University School of Medicine, Omaha, Nebraska, United StatesAbstract Introduction Benign fibrous histiocytomas are common lesions of the skin that rarely affect the tongue. Such cases are available in the literature exclusively as case reports. Similarly, malignant fibrous histiocytoma, now classified as undifferentiated pleomorphic sarcoma, is exceedingly rare in the tongue and not fully understood. Objectives This study systematically reviews the available literature discussing the clinical and pathological features of malignant and benign fibrous histiocytomas. Data Synthesis A total of 20 cases were included in this review. Patient-level data were extracted from cases to include clinical presentation, workup, treatment, and outcome. Conclusion Benign fibrous histiocytomas are consistent in clinical and histopathologic presentation. Surgical treatment provides excellent outcome, with no recurrence in all excised cases. Malignant tumors have a more aggressive clinical and pathological presentation. Surgical treatment with possible adjuvant radiotherapy resulted in recurrence in 40% of cases (follow-up of 24 months), and death due to disease in 47% of patients (follow-up of 19 months).http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1602819dermatofibrosarcomadermatofibromafibrous histiocytomatongue neoplasm
spellingShingle Austin Nguyen
Adam Vaudreuil
Paul Haun
Gabriel Caponetti
Christopher Huerter
Clinical Features and Treatment of Fibrous Histiocytomas of the Tongue: A Systematic Review
International Archives of Otorhinolaryngology
dermatofibrosarcoma
dermatofibroma
fibrous histiocytoma
tongue neoplasm
title Clinical Features and Treatment of Fibrous Histiocytomas of the Tongue: A Systematic Review
title_full Clinical Features and Treatment of Fibrous Histiocytomas of the Tongue: A Systematic Review
title_fullStr Clinical Features and Treatment of Fibrous Histiocytomas of the Tongue: A Systematic Review
title_full_unstemmed Clinical Features and Treatment of Fibrous Histiocytomas of the Tongue: A Systematic Review
title_short Clinical Features and Treatment of Fibrous Histiocytomas of the Tongue: A Systematic Review
title_sort clinical features and treatment of fibrous histiocytomas of the tongue a systematic review
topic dermatofibrosarcoma
dermatofibroma
fibrous histiocytoma
tongue neoplasm
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1602819
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