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Wheeless' Textbook of Orthopaedics
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Malignant fibrous histiocytoma of the soft tissues of the trunk and extremities


Pritchard-D-J. Reiman-H-M. Turcotte-R-E. Ilstrup-D-M. Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905. Clin-Orthop. 1993 Apr. (289). P 58-65. Malignant fibrous histiocytoma (MFH) is the most commonly diagnosed soft-tissue sarcoma. Of 408 retrospectively reviewed patients with MFH, 220 patients had primary, localized, previously untreated tumors involving the extremities or limb girdles. Univariate statistical analysis of results revealed five prognostic factors that were significantly related to poor outcome: old age, deeply seated lesions, surgical grade, large size, and marginal or intralesional surgery. Multivariate analysis revealed only three factors that were significantly related to poor prognosis: old age, deeply seated lesions, and inadequate surgery. Author-abstract.



Original Text by Clifford R. Wheeless, III, MD.