Congenital and infantile myofibromatosis is a rare tumor primarily affecting infants and young children. This study details 61 cases, distinguishing solitary and multicentric forms with varied clinical presentations and outcomes.
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Congenital and infantile myofibromatosis is a rare mesenchymal tumor.
It predominantly affects infants and young children, with most cases presenting at or shortly after birth.
Purpose of the Study:
To present the clinical and pathological features of 61 cases of congenital and infantile myofibromatosis.
To distinguish between solitary and multicentric forms and analyze their characteristics.
Main Methods:
Retrospective review of 61 cases of congenital and infantile myofibromatosis.
Analysis of clinical presentation, pathological findings, and patient outcomes.
Main Results:
The tumor occurred in 88% of cases before age two, with 60% noted at birth.
Solitary tumors (45 cases) were more common in males and affected head-neck/trunk soft tissues.
Multicentric tumors (16 cases) predominated in females, affecting soft tissues, bones, and viscera; 14/16 were congenital, 4 with visceral involvement.
Microscopically, tumors showed well-circumscribed nodules of spindle cells with intermediate staining characteristics.
Of 43 patients with follow-up, 36 were alive and well; 3 solitary lesions recurred.
Five of 15 multicentric lesions showed spontaneous regression; 4 patients died, 3 from visceral involvement.
Conclusions:
Congenital and infantile myofibromatosis exhibits distinct solitary and multicentric patterns with different demographic and site predilections.
While many cases have favorable outcomes, multicentric forms, especially with visceral involvement, carry a higher risk of mortality.
Spontaneous regression can occur in multicentric lesions, suggesting varied biological behavior.