Abstract
Presented is a case of benign fibrous histiocytoma (BFH) involving the calvarium of a 25 years old lady who noticed a depression in her occiput associated with localised pain. Imaging revealed a tumour eroding through the inner and outer skull tables, closely associated with major underlying dural sinuses. She underwent complete macroscopic resection of the tumour and reconstruction of a titanium mesh cranioplasty. Histology favoured a benign process with a diagnosis of BFH of the calvarium given. At 1 year follow-up, the patient is asymptomatic and has not developed recurrence of the tumour.
Highlights
benign fibrous histiocytoma (BFH) is most often encountered as a soft-tissue neoplasm involving the skin, and less common, BFH involving other sites including the bony skeleton is seen
Involvement of the skull is rare with only one other case of BFH involving the neurocranium reported in the literature [1]
We report a case of a symptomatic BFH involving the occipital bone and discuss the role for minimising the degree of resection in these benign cases
Summary
BFH is most often encountered as a soft-tissue neoplasm involving the skin, and less common, BFH involving other sites including the bony skeleton is seen. Involvement of the skull is rare with only one other case of BFH involving the neurocranium reported in the literature [1]. We report a case of a symptomatic BFH involving the occipital bone and discuss the role for minimising the degree of resection in these benign cases
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