Infantile Acral Fibroma-An Uncommon Presentation on the Heel

Area of Science:

• Pediatric Pathology
• Dermatology
• Surgical Oncology

Background:

• Infantile digital fibroma (IDF) is a rare, benign tumor of myofibroblasts.
• Typically presents in infancy and early childhood, predominantly on digits.
• Characterized by firm, flesh-colored to red nodules.

Observation:

• An atypical case of infantile digital fibroma (IDF) was observed.
• The tumor presented on the lateral heel, not the typical digits.
• Clinical presentation included obstruction of gait and impact on normal development.

Findings:

• Surgical excision was performed for the heel-based IDF.
• Histopathological confirmation of infantile digital fibroma (IDF).
• The case demonstrates IDF's potential to occur outside of digital locations.

Implications:

• Highlights the importance of considering IDF in atypical locations.
• Underscores the need for tailored surgical and management strategies for non-digital IDF.
• Contributes to understanding the variable presentation of infantile digital fibroma.