Tumor fibrolipomatoso hemosiderótico en el antebrazo izquierdo

  1. Carvajal Balaguera, J. 1
  2. González Morales, M.L. 1
  3. Martín García-Almenta, M. 1
  4. Martín Alcrudo, S. 2
  5. Cerquella Hernández, C.M. 1
  1. 1 Hospital Central Cruz Roja San José y Santa Adela. Servicio de Cirugía General y Digestiva
  2. 2 Hospital Central Cruz Roja San José y Santa Adela. Servicio de Anestesia y Reanimación
Revue:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Année de publication: 2015

Volumen: 18

Número: 2

Pages: 84-88

Type: Article

D'autres publications dans: Revista española de investigaciones quirúrgicas

Résumé

Hemosiderotic fibrohistiocytic lipomatous tumour, also called hemosiderotic fibrolipomatous lesion, is a rare soft tissue patology. Histologically is composed of three basic elements, mature adipocytes, spindle cells and hemosiderin pigment. It usually occurs as a subcutaneous tumor of slow growth. It mainly affects middle-aged women. The most common site is the lower extremity (foot and ankle). Involvement of the upper limb is exceptional. The treatment of choice is surgical removal. It requires close monitoring because of its great capacity for local recurrence. We report the case of a male patient aged 62, suffering from this disease located on the left forearm. We review the literature regarding the epidemiology, diagnosis, treatment, histology, immunohistochemistry, cytogenetic and differential diagnosis, paying special attention to its relation with early pleomorphic hyalinizing angiectatic tumour and myxoinflammatory fibroblastic sarcoma.