Summary of CT and MR imaging features of 13 patients with MFH of the head and neck*

Patient No./Age(yr)/SexCT/MR ImageCenter/ExtentBDSize (cm)MarginDensity on Precontrast CTT1WIT2WIEnhancement Pattern/DegreeHistologic Subtype
1/65/FNo/yesMaxillary sinus/nasal cavity, orbit, buccal space, anterior cheekYes5.5Ill-definedMixed isointense, hypointenseMixed isointense, hyperintense, hypointenseHeterogeneous/moderateInflammatory
2/46/FYes/yesMaxillary sinus/buccal spaceYes4.0Ill-definedIsodenseMixed isointense, hyperintenseMixed isointense, hyperintense, hypointenseHeterogeneous/moderateInflammatory
3/42/MYes/noNasal cavity/maxillary sinus, ethmoid sinus, buccal spaceYes5.0Ill-definedMixed isodense, slightly hypodenseHeterogeneous/mild to moderateMyxoid
4/58/MYes/noMaxillary sinus/anterior cheekYes3.9Ill-definedMixed isodense, slightly hypodenseHeterogeneous/moderateStoriform-pleomorphic
5/34/MYes/yesMaxillary sinus/nasal cavity, ethmoid sinus, orbit, buccal space, anterior cheekYes4.0Ill-definedIsodenseMixed isointense, hyperintense, hypointenseMixed hyperintense, isointense, hypointenseHeterogeneous/moderateStoriform-pleomorphic
6/46/MYes/yesNasal cavity/nasopharynx, nasal septumYes4.1Ill-definedIsointenseMixed isointense, hypointenseHeterogeneous/moderateStoriform-pleomorphic
7/57/MYes/yesMasticator space/zygomatic archYes7.8Ill-definedIsodenseIsointenseMixed isointense and hyperintenseHeterogenous/marked
8/30/MYes/yesMasticator space/zygomatic arch, middle cranial base, middle cranial fossaYes5.8Ill-definedIsodenseMixed isointense and hyperintenseMixed isointense and hyperintenseHeterogeneous/moderate to markedStoriform-pleomorphic
9/39/MYes/yesAnterior cheek/nasal cavity, frontal process of maxillaYes4.5Well-definedSlightly hypodenseSlightly hypointenseMarkedly hyperintenseHomogeneous/markedMyxoid
10/24/MYes/noInfraparotid lateral neck/sternocleidomastoid muscle, parotid glandNo6.8Ill-definedHeterogeneous/mild to moderateMixed storiform-pleomorphic and myxoid
11/60/MYes/noPoststyloid parapharyngeal space/prevertebral space/carotid arteryNo5.2Ill-definedHeterogeneous/mild to moderateStoriform-pleomorphic
12/41/FNo/yesUpper anterior gingiva/maxillary alveolar boneYes2.5Well-definedIsointenseHyperintenseHomogeneous/moderateStoriform-pleomorphic
13/45/FYes/yesOrbital roof/orbit, facial soft tissueYes5.0Ill-definedHypodenseIsointenseMixed isointense and hyperintenseHeterogenous/mild to moderateStoriform-pleomorphic
  • Note:—BD indicates associated bone destruction; T1WI, T1-weighted imaging; T2WI, T2-weighted imaging; MFH, malignant fibrous histiocytoma.

  • * Size was denoted as greatest diameter; density of the lesion was compared with that of the adjacent muscle; signal intensity of the lesion was compared with that of the cerebral cortex.