Malignant fibrous histiocytoma (MFH) is considered to be a relatively uncommon neoplasm in the head and neck region, especially in the auricular region.
We report the extremely rare case of a 25 year-old female with a MFH in her left post-auricular area. After a biopsy operation, the pathologic diagnosis revealed a MFH of the ordinary type. We performed a radical operation, including excision of the regional skin, periosteum and part of the auricular cartilage. After 2 years, the patient is still alive without any recurrence. We also reviewed and analyzed our 5 most recent cases of MFH and discussed their pathologic diagnosis and treatment modalities.