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Cervical congenital infantile fibrosarcoma: a case report

Alisha Gupta1, Shilpa Sharma2, Sandeep Mathur3

  • 1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of Medical Case Reports
|February 25, 2019
PubMed

Insights

Congenital infantile fibrosarcoma, a rare neck tumor in infants, was successfully managed with surgical excision. This case highlights the importance of considering this rare diagnosis in congenital neck masses, often misdiagnosed as lympho-venous malformations.

Area of Science:

  • Pediatric Oncology
  • Surgical Pathology
  • Rare Pediatric Tumors

Background:

  • Congenital infantile fibrosarcoma is a rare mesenchymal tumor affecting infants and adults.
  • The congenital variant is exceptionally rare, with limited documented cases, particularly in the neck.
  • This report details a successfully managed case of congenital infantile fibrosarcoma in the neck.

Observation:

  • A 3-month-old infant presented with a congenital neck swelling.
  • Initial clinical diagnosis suggested lympho-venous malformation.
  • Excisional biopsy was performed due to a low suspicion of malignancy.

Findings:

  • Histopathology confirmed the diagnosis of congenital infantile fibrosarcoma.
  • This represents a rare instance of successful surgical management for this specific tumor location.
  • The tumor was initially misdiagnosed, underscoring diagnostic challenges.

Implications:

  • Congenital infantile fibrosarcoma should be considered in the differential diagnosis of congenital neck masses.
  • Accurate histopathological examination is crucial for definitive diagnosis.
  • Successful surgical excision offers a viable management strategy for this rare condition.
Abstract

Keywords:
InfantInfantile fibrosarcomaNeck

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