As I said in game, I'd consider getting khopesh and swapping out some of the shield related feats and some of the Toughnesses, while making sure you have more than 500 hp at cap at the least, including a +45 hp Shroud item and a Greater False Life item.
I've never played a ful-fledged tank and can't speak from my own experience, but you could have a look at
this build, a European player who's been tanking since game launch and definitely knows what he's talking about. I'm not suggesting you should copy that build of course. It might give you some ideas though.