[Solitary cutaneous infantile myofibromatosis]

Thomas Petit1, Maggy Grossin, Sylvie Fraitag

  • 1Service d'anatomie et de cytologie pathologiques, Hôpital Bichat - Claude Bernard, 46 rue Henri Huchard, 75018 Paris. tom.petit@online.fr

Annales De Pathologie
|March 2, 2005
PubMed

Insights

Infantile myofibromatosis (IMF) is a common childhood fibromatosis. This case highlights a newborn with a scalp nodule diagnosed as IMF, emphasizing its varied presentations and prognosis based on type.

Area of Science:

  • Pediatric Pathology
  • Dermatology
  • Surgical Oncology

Background:

  • Infantile myofibromatosis (IMF) is the most prevalent fibromatosis in childhood.
  • It represents a benign proliferation of fibroblasts and myofibroblasts.
  • IMF can manifest in solitary, multicentric, or generalized forms with visceral involvement.

Observation:

  • A newborn presented with a purple cutaneous nodule on the scalp at birth.
  • Surgical excision was performed at 16 months of age.
  • Histological examination confirmed infantile myofibromatosis.

Findings:

  • Histological diagnosis of IMF relies on identifying a fascicular myofibroblastic pattern peripherally and a hemangiopericytoma-like pattern centrally.
  • Both components typically express alpha-smooth muscle actin.
  • While solitary IMF has a good prognosis, generalized forms with visceral involvement are often fatal.

Implications:

  • This case underscores the importance of accurate histological diagnosis for appropriate management of infantile myofibromatosis.
  • Understanding the different forms of IMF is crucial for predicting patient outcomes.
  • Early recognition and surgical intervention may be beneficial for localized lesions.

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