A Case of Atypical Fibroxanthoma.

Park, Hye June

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2005;32(1):139-143.
Published online January 1, 2005.

A Case of Atypical Fibroxanthoma.

Hye June Park

Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Kyunggi, Korea. hjparkps@hanmail.net

Abstract

Atypical fibroxanthoma(AFX) is a tumor that occurs as a solitary and ulcerative nodule on actinically damaged or radiation damaged skin of the head and neck in the elderly. AFX is a pleomorphic spindle cell neoplasm of the dermis, which is a clinically benign reactive lesion despite of apparently malignant histologic features. We report a case of AFX which developed on the nasal root area of a 23-year-old man. This case is very unusual in terms of site(less sun-damaged area), overlying skin feature(grossly normal skin) and age(too young). This tumor was completely removed with surgical excision and remained free of recurrence for a period of about 1 year follow-up.

Keywords: Atypical fibroxanthoma; Superficial malignant fibrous histiocytoma; AFX