title: Storiform-pleomorphic type of multifocal malignant fibrous histiocytoma of the lumbar spine.
abstract: BACKGROUND
  We present the extremely rare case of a 67-year-old male with malignant fibrous histiocytoma, arising in the lumbar spine, demonstrated with radiological and pathological studies.
  
  
  METHODS
  The patient and his relatives refused open surgical approach and we performed transpedicular vertebral corpus biopsy and vertebroplasty under spinal anesthesia. His pathological result was malignant fibrous histiocytoma. The spine is a very uncommon site for malignant fibrous histiocytoma.
  
  
  CONCLUSIONS
  The management of malignant fibrous histiocytoma relies on the combination of maximum decompression surgery, chemotherapy and radiotherapy. Total removal is unrealistic and diagnosis is difficult. The prognosis in terms of continuing neurological deficit after surgery appears to be poor.
authors.affiliation: Department of Neurosurgery, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.
authors.forename: Aykut
authors.initials: A
authors.lastname: Akpinar
authors.affiliation: Department of Neurosurgery, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.
authors.forename: Cengiz Omer
authors.initials: CO
authors.lastname: Ozdemir
authors.affiliation: Department of Neurosurgery, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.
authors.forename: Necati
authors.initials: N
authors.lastname: Ucler
authors.affiliation: Department of Pathology, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.
authors.forename: Haci Mehmet
authors.initials: HM
authors.lastname: Inan
mesh_terms: D000368:Aged; D051677:Histiocytoma, Malignant Fibrous / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D013125:Spinal Neoplasms / Q000473:pathology* / Q000601:surgery*