Infantile digital fibromatosis: an unusual localization

N Sungur1, H Kilinç, R Ozdemir

  • 1Department of Plastic & Reconstructive Surgery, Ankara Numune Hospital, Ankara, Turkey.

Insights

Infantile digital fibromatosis, a rare childhood fibrous growth, can affect adolescents. Surgical excision of this benign tumor on the finger resulted in no recurrence for three years.

Area of Science:

  • Dermatology
  • Pediatric Oncology
  • Surgical Pathology

Background:

  • Infantile digital fibromatosis (IDF), also known as recurrent digital fibromatosis, is an uncommon benign fibrous tumor typically affecting infants and young children.
  • While generally benign, IDF can present challenges due to its potential for recurrence.

Observation:

  • This report details a case of a 16-year-old patient presenting with IDF on the volar aspect of the right little finger, near the distal interphalangeal joint.
  • The tumor's location and presentation in an adolescent are noteworthy for this condition typically seen in younger children.

Findings:

  • Surgical excision was performed for the digital fibroma.
  • Histopathological examination confirmed the diagnosis of infantile digital fibromatosis.
  • The patient remained disease-free for a follow-up period of three years post-excision, indicating successful treatment.

Implications:

  • This case highlights that infantile digital fibromatosis can occur in older children and adolescents.
  • Complete surgical excision appears to be an effective treatment modality, achieving long-term remission.
  • Further research into the specific triggers and management of later-onset IDF may be warranted.

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