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.
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