Total vertebral involvement by benign fibrous histiocytoma: A case report and literature review

Background: Benign fibrous histiocytoma (BFH) is extremely rare in the spine. Methods: We present a 52-year-old patient diagnosed with BFH in the thoracic spine and treated with total en bloc spondylectomy. The related literature was also reviewed. Results: A total of 19 spinal BFHs have been reported, all involving the posterior elements of spine. Here we present the first BFH with total vertebral involvement. Conclusions: To our knowledge, this is the first case of total vertebral BFH. Spinal BFH is a considered a nonaggressive benign lesion. Surgical intervention is usually sufficient for managing BFH with both recurrence and metastasis uncommon.