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(Stroke. 1996;27:536-537.)
© 1996 American Heart Association, Inc.

Articles

Primitive Malignant Fibrous Histiocytoma of the Neck With Carotid Occlusion and Multiple Cerebral Ischemic Lesions

Marie-Laure Martin-Negrier, MD; Genevieve Belleannée, MD; Claude Vital, MD Jean-Marc Orgogozo, MD

From the Departments of Neuropathology (M.-L.M.-N., G.B., C.V.) and Neurology (J.-M.O.), CHR Pellegrin, Bordeaux, France.

Background Emergence of a malignant tumor at the site of an operation is a rare event and most often arises in association with retained foreign material.

Case Description We describe a patient who 1 year after a left carotid endarterectomy for typical atheromatous lesions presented with several transient ischemic attacks with stepwise worsening of the deficit and rapid death. A few weeks before, a tumor of the neck had appeared at the site of the previous endarterectomy. At postmortem examination, we found a malignant histiocytofibroma occluding the left carotid artery, with several recent ischemic foci in the corresponding cerebral hemisphere without metastasis or tumor emboli.

Conclusions This observation is unusual owing to the histological type of the neoplasm and to the circumstance of emergence of the neoplasm.

Key Words: carotid arteries • histiocytoma, fibrous • foreign bodies • sarcoma

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