Ke XT, Yu XF, Liu JY, Huang F, Chen MG, Lai QQ. Myxofibrosarcoma of the scalp with difficult preoperative diagnosis: A case report and review of the literature. World J Clin Cases 2020; 8(11): 2350-2358 [PMID: 32548167 DOI: 10.12998/wjcc.v8.i11.2350]
Corresponding Author of This Article
Qing-Quan Lai, MA, Associate Professor, Chief Physician, Department of CT/MRI, The Second Affiliated Hospital of Fujian Medical University, No. 34 Zhongshanbei Road, Licheng District, Quanzhou 362000, Fujian Province, China. laiqingquan888@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xiao-Ting Ke, Xiong-Feng Yu, Ji-Yang Liu, Fang Huang, Mei-Gui Chen, Qing-Quan Lai, Department of CT/MRI, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China
Author contributions: Ke XT participated in the design of the report, analyzed the data, and wrote the paper; Yu XF, Liu JY and Huang F collected the medical imaging materials; Chen MG and Lai QQ designed the report and performed the preliminary revision of the article.
Informed consent statement: Consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Qing-Quan Lai, MA, Associate Professor, Chief Physician, Department of CT/MRI, The Second Affiliated Hospital of Fujian Medical University, No. 34 Zhongshanbei Road, Licheng District, Quanzhou 362000, Fujian Province, China. laiqingquan888@163.com
Received: January 21, 2020 Peer-review started: January 21, 2020 First decision: April 14, 2020 Revised: April 17, 2020 Accepted: April 29, 2020 Article in press: April 29, 2020 Published online: June 6, 2020 Processing time: 138 Days and 19.7 Hours
Core Tip
Core tip: Myxofibrosarcoma (MFS) is a malignant fibroblastic tumor that has a predilection for lower and upper extremities. Rare occurrences have been reported in the scalp. We describe a 46-year-old male diagnosed with a MFS of the scalp (highly malignant with massive necrotic lesions) by histologic examination and immunohistochemistry testing. The magnetic resonance imaging findings did not conform to the reported typical “tail sign”, which may be confused with other tumors and lead to the correct diagnosis being missed. The definitive diagnosis of MFS is based on immunohistologic features. Considering the location and non-specific imaging manifestations of this case, the treatment is also worthy of discussion. Surgical excision combined with postoperative adjuvant radiotherapy was effective in our case.
