Malignant Fibrous Histiocytoma
of the Parotid Gland
1Mačák J., 1Šmardová J., 1Zavřelová I., 2Vránová V., 2Kuglík P.
1Department of Pathology, Faculty of Medicine, Masaryk University in Brno and Faculty Hospital Brno, Czech Republic 2Department of Genetic and Molecular Biology, Institute of Experimental Biology, Faculty of Science, Masaryk University in Brno, Czech Republic |
|
Summary:
We described a rare malignant fibrous histiocytoma of the parotid gland (MFH) in a 63-year-old
woman. During six months the tumour size became 10 cm in diameter with skin ulceration. The
tumour was examined morphologically, by immunohistochemistry and molecular biology methods
– FASAY and CGH. The histology revealed a storiform-pleomorphic type of MFH with high mitotic
rate. The FASAY method identified a non-mutated p53 gene. The chromosomal changes were
identified by the CGH method and 6 cytogenetic changes were found in the tumour cells (deletions
at 8p12-p22, 13q32-qter, 14q24-qter, and gains of chromosomal material at 5p, 8q12-q23, and Xq25-
qter). The patient died shortly after the beginning of chemotherapy. Autopsy revealed brain and
cerebellar haemorrhage. No other tumour foci were proved. In view of short course of disease we
lack the data about the influence of the non-mutated p53 gene on the prognosis and therapy.
Key words:
malignant fibrous histiocytoma - parotid gland – immunohistochemistry -
molecular biology methods - p53 gene - comparative genomic hybridization
|