title: Primary intracerebral malignant fibrous histiocytoma mimicking a meningioma.
abstract: We describe herein a patient with primary intracerebral malignant fibrous     histiocytoma (MFH) to demonstrate this very rare central nervous system tumor. A     42-year-old male was admitted to our institute with the complaints of headache     and speech impairment. Magnetic resonance imaging (MRI) revealed a tumor     consistent with meningioma and we decided the surgery. The tumor was excised     totally during the initial surgery. Histopathological examination revealed a     mesenchymal tumor with an invasion of the adjacent brain and underlying dura     mater. On the postoperative 4th month, the follow up MRI showed tumor recurrence     at the same location and of similar size. Reoperation was performed and the     tumor was again removed gross totally. However, the patient demonstrated a     rapidly progressive course leading to death within the first year after the     surgery. Two significant points of this case of primary central nervous system     MFH are the rarity of its occurrence and its mimicking a meningioma.
authors: Pamukkale University, Faculty of Medicine, Department of Neurosurgery, Denizli, Turkey. drmevci@hotmail.com
authors: Mevci
authors: M
authors: Ozdemir
authors: Onur
authors: O
authors: Ozgural
authors: Melih
authors: M
authors: Bozkurt
authors: Fuat Mehmet
authors: FM
authors: Torun
authors: Aylin Okcu
authors: AO
authors: Heper
authors: Hakan
authors: H
authors: Tuna
mesh_terms: D000328:Adult; D001921:Brain / Q000473:pathology; D001932:Brain Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D059248:Chemoradiotherapy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D051677:Histiocytoma, Malignant Fibrous / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging; D008297:Male; D008579:Meningioma / Q000175:diagnosis / Q000473:pathology*; D009364:Neoplasm Recurrence, Local / Q000628:therapy; D009460:Neurologic Examination; D019635:Neurosurgical Procedures / Q000379:methods; D014057:Tomography, X-Ray Computed