Summary:
Plexiform fibrohistiocytic tumor is a rare lesion which has been reported only in the dermis and
subcutis so far. We present two cases in this location and an additional one localized in the
proximal epiphysis of the tibia. A case with crural location showed predominance of plexiform
tumorous nodes with fibrohistiocytic arrangement. The nodes were composed of spindle-shaped
myofibroblasts with admixture of histiocytes and giant multinucleated osteoclast-like cells. In
another case the tumor of axillary soft tissues featured mostly plexiform bundles of spindle-sha-
ped myofibroblast-like cells reacting positively with actin and CD 68 antibodies; ultrastructurally,
they contained numerous dense lysosomal inclusions with myelin figures. The bone tumor was
composed of hyalinized fibroblastic component with disperse fibrohistiocytic nodes. Despite a se-
mimalignant character of the lesion there was no recurrence in our cases during the 2 - 6 year
postoperative period.
Key words:
plexiform fibrohistiocytic tumor - soft tissues - bone – immunohistochemistry - elec-
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