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Infantile digital fibroma treated with mohs micrographic surgery
John G Albertini1, Michael Jude Welsch, Leo A Conger
1Brooke Army Medical Center, Fort Sam Houston, TX, USA. JohnAlbertini@msn.com
Summary
Infantile digital fibroma (IDF), a recurring childhood tumor, can be effectively treated with Mohs micrographic surgery (MMS). This approach offers a viable surgical option, preventing recurrence and joint deformity.
Area of Science:
- Dermatology
- Pediatric Surgery
- Pathology
Background:
- Infantile digital fibroma (IDF) is a rare, recurrent benign fibrous tumor in children.
- Nonsurgical management of IDF may lead to regression or joint deformity.
Observation:
- Histologic examination revealed characteristic actin inclusion bodies.
- Mohs micrographic surgery (MMS) was utilized for tumor excision.
- Defect healed by secondary intention with no recurrence at 2 years.
Findings:
- Actin inclusion bodies were identified using H&E, Masson's trichrome, and actin immunostain.
- MMS successfully debulked the majority of the tumor.
- No recurrence or functional joint deformity was observed post-MMS.
Implications:
- Mohs micrographic surgery presents a viable surgical treatment option for infantile digital fibroma.
- MMS may offer improved outcomes in preventing recurrence and preserving joint function.
- Further investigation into MMS for IDF management is warranted.