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Aggressive infantile fibromatosis.

D P Yesudian1, S G Krishnan, M Jayaraman

  • 1Department of Dermatology, Madras Medical College and Government General Hosptial, Madras, India.

Indian Journal of Dermatology, Venereology and Leprology
|October 16, 2010
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An aggressive infantile fibromatosis, a rare childhood fibrous tumor, was diagnosed in an infant with rapidly growing skin lesions. Histopathology confirmed fusiform fibroblast proliferation, suggesting this juvenile fibromatosis type.

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Area of Science:

  • Pediatric Dermatology
  • Surgical Pathology
  • Oncology

Background:

  • Juvenile fibromatoses are a group of fibrous tissue tumors that manifest at birth or in early childhood.
  • Infantile fibromatosis represents a subset of these conditions, characterized by localized fibrous proliferation.

Purpose of the Study:

  • To present a case of aggressive infantile fibromatosis in an infant.
  • To highlight the clinical and histopathological features aiding in diagnosis.

Main Methods:

  • Clinical examination of an 8-month-old infant with skin lesions on the lower limb.
  • Histopathological analysis of biopsied tissue, focusing on cellular morphology and arrangement.

Main Results:

  • The infant presented with two ulcerated, indurated plaques on the right lower limb.
  • Biopsy revealed a proliferation of fusiform fibroblasts, with some arranged in whorls.
  • Lesion growth initially rapid, but stabilized over the preceding two months.

Conclusions:

  • The clinical presentation and histopathological findings strongly supported a diagnosis of aggressive infantile fibromatosis.
  • This case underscores the importance of considering juvenile fibromatoses in the differential diagnosis of pediatric skin tumors.