Resumo

SANCHEZ ACUNA, Guillermo; CABRERA GARCIA, Jorge Luis; GBENOU MORGAN, Yurian  e  DOMINGOS, Bartolomeu Francisco. Fibrosarcoma in the genial region. Rev Cubana Estomatol [online]. 2012, vol.49, n.2, pp. 184-190. ISSN 0034-7507.

The fibrosarcoma is the more incident mesodermic malignant neoplasm. Authors present this clinical case presenting with this entity to emphasize on the significance of the appropriate diagnostic and therapeutical management for rehabilitation of these patients. This patient is aged 54 with a history of controlled high blood pressure (HBT) who over the 23 past years begun to show an increase of volume in left genial region thus its surgical intervention in 1987, 1991 and 2009 years and came to consultation presenting with a 5 cm diameter lesion with a fast growth pattern bleeding spontaneously compressing the left ocular globe restricting the palpebral opening. After the corresponding preoperative study authors prescribed the surgical treatment obtaining a conclusive diagnosis according to a immunohistochemical study of the fibrosarcoma of intermediate degree of differentiation with a marked CD34 (+, focal) immunoreactivity, Vimentin (+,focal). We conclude that the treatment of this entity is of surgical type, taking into account the current oncology guidelines and its therapeutical approach must to be multidisciplinary to achieve the functional and aesthetic rehabilitation of the patient. The immunohistochemistry is a conclusive diagnostic tool contributing to apply the appropriate treatment in this type of lesion.

Palavras-chave : fibrosarcoma; fusocellular sarcoma; mesodermic origin malignant neoplasm; neurofibroma; immunohistochemical diagnosis.

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