title: Imaging characteristics of angiomatoid fibrous histiocytoma of bone.
abstract: We present the first report of a patient with angiomatoid fibrous histiocytoma of bone in the radiology literature. This tumor initially eluded diagnosis due to its similarities with chronic hematoma and aneurysmal bone cyst. Only two cases of angiomatoid fibrous histiocytoma have been reported in the radiology literature and both of these lesions were in the soft tissues. The fairly distinctive findings in our patient of multiple large cystic chambers with fluid-fluid levels are similar to the findings in the two soft tissue case reports, suggesting that imaging may be used to suggest this specific diagnosis regardless of location, especially in the clinical setting of unexplained hematoma or anemia. Mention of this diagnosis in the radiology report may aid in the final diagnosis at pathology, because special techniques, including fluorescent in situ hybridization, must be applied in order to fully evaluate for the diagnosis.
authors.affiliation: Department of Radiology, UVA Health System, Box 800170, Charlottesville, VA 22908, USA. WP5U@hscmail.mcc.virginia.edu
authors.forename: W Banks
authors.initials: WB
authors.lastname: Petrey
authors.forename: Robin D
authors.initials: RD
authors.lastname: LeGallo
authors.forename: Michael G
authors.initials: MG
authors.lastname: Fox
authors.forename: Cree M
authors.initials: CM
authors.lastname: Gaskin
mesh_terms: D001859:Bone Neoplasms / Q000175:diagnosis*; D002675:Child, Preschool; D018219:Histiocytoma, Benign Fibrous / Q000175:diagnosis*; D006801:Humans; D007512:Ischium / Q000000981:diagnostic imaging* / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods*
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