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Aneurysmal Benign Fibrous Histiocytoma with Atrophic Features
Authors:Jung Won Shin  Hyun Sun Park  Byoung Kwon Kim  Young A Kim  Myung-Good Kim  Chong Hyun Won  and Soyun Cho
Institution:Department of Dermatology, Seoul National University College of Medicine, Boramae Medical Center, Seoul, Korea.;1Department of Pathology, Seoul National University College of Medicine, Boramae Medical Center, Seoul, Korea.;2Department of Plastic Surgery, Seoul National University College of Medicine, Boramae Medical Center, Seoul, Korea.
Abstract:Aneurysmal benign fibrous histiocytoma is an uncommon pathologic variant of dermatofibroma. In addition to the features of a typical dermatofibroma, it has large cleft-like or cavernous blood-filled spaces with numerous hemosiderin pigments. It should be differentiated from angiomatoid malignant fibrous histiocytoma, malignant melanoma, and vascular tumors such as Kaposi''s sarcoma and angiosarcoma. Atrophic dermatofibroma is also a rare variant of dermatofibroma, and the combination of aneurysmal and atrophic features is rarer still. We report a case of aneurysmal benign fibrous histiocytoma with atrophic features in a 27-year-old male who had a grayish-brown atrophic patchy lesion on his back for 2 years.
Keywords:Aneurysmal variant  Atrophy  Dermatofibroma
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