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Case Reports in Orthopedics
Volume 2015 (2015), Article ID 620923, 5 pages
http://dx.doi.org/10.1155/2015/620923
Case Report

Myxoinflammatory Fibroblastic Sarcoma: A Radiographical, Pathological, and Immunohistochemical Report of Rare Malignancy

1Department of Orthopedic Surgery, Gifu Municipal Hospital, 7-1 Kashima-cho, Gifu 500-8513, Japan
2Department of Diagnostic Pathology, Gifu Municipal Hospital, 7-1 Kashima-cho, Gifu 500-8513, Japan
3Department of Orthopedic Surgery, Gifu University School of Medicine, 1-1 Yanagido, Gifu 501-1194, Japan

Received 25 March 2015; Accepted 7 May 2015

Academic Editor: Nikolaos K. Kanakaris

Copyright © 2015 Michitaka Kato et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Myxoinflammatory fibroblastic sarcoma (MIFS) is a rare, painless, and intermediate (rarely metastasizing) fibroblastic tumor, which commonly occurs in the extremities, with an equal sex predilection. This sarcoma is composed of a mixed inflammatory infiltrate along with spindled, epithelioid, and bizarre tumor cells in a background of hyaline and myxoid areas. In spite of such a distinctive morphology, the tumor can be a diagnostic challenge, simulating inflammatory conditions as well as neoplastic nature. For accurate diagnosis, the tumor requires extensive clinical, radiological, and pathological investigations. We present a case of MIFS in a 19-year-old female who presented with a mass in the left ankle. After appropriate excision and postoperative radiation therapy, she is free of disease, including recurrence and metastasis, at 12 years postoperatively.