Malignant fibrous histiocytoma of the mandible in the context of a traumatic Marjolin's ulcer

J Tissue Viability. 2008 May;17(2):38-43. doi: 10.1016/j.jtv.2007.09.012.

Abstract

We present a rare manifestation of a chronic mandibular wound with a traumatic diathesis. A 38-year-old male patient sought medical consultation because of painless swelling in the mandibular symphysis and mild paresthesia of the lower lip. He mentioned a history of physical trauma to the mandibular symphysis 12 months ago. The radiographic evaluation and CT scan showed gross destruction of bone leading to a well-defined radiolucent lesion without any sclerosing margins. The histological examination revealed numerous spindle-shaped fibroblasts arranged in a fascicular pattern and scattered multinucleated and mononuclear cells with bizarre nuclei throughout the lesion. Moderate nuclear pleomorphism was evident with few mitotic cells. The lesion was diagnosed as a malignant fibrous histiocytoma of storiform-pleomorphic type based on the previous descriptions. After surgical removal of the lesion and the adjacent tissues and reconstruction, the patient was referred to a radiotherapist for continuation of treatment. Despite this therapy, the lesion recurred after a year, and prior to the second operation, the patient died as a result of brain involvement.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Accidental Falls
  • Adult
  • Biopsy
  • Causality
  • Cell Transformation, Neoplastic
  • Chronic Disease
  • Fatal Outcome
  • Histiocytoma, Malignant Fibrous / diagnosis
  • Histiocytoma, Malignant Fibrous / etiology*
  • Histiocytoma, Malignant Fibrous / therapy
  • Humans
  • Male
  • Mandibular Injuries / complications*
  • Mandibular Neoplasms / diagnosis
  • Mandibular Neoplasms / etiology*
  • Mandibular Neoplasms / therapy
  • Mandibular Prosthesis Implantation
  • Neoplasm Recurrence, Local
  • Radiography, Panoramic
  • Radiotherapy, Adjuvant
  • Rare Diseases
  • Skin Ulcer / complications*
  • Tomography, X-Ray Computed