Summary
Solitary and multicentric myofibromas are rare fibrous tumours with marked predilection
for infants and young children. Presentation is mainly before the age of 2 and lesions
are often congenital. Behaviour is usually benign, but mortality has been described
in lesions with visceral involvement.
We report a unique case of congenital solitary cutaneous infantile myofibroma in a
neonate associated with self-limiting thrombocytopaenia.
It is important to distinguish accurately these lesions from benign vascular tumours
like haemangiomas, locally aggressive vascular tumours like Kaposiform haemangioendotheliomas,
which are often associated with Kasabach–Merritt phenomenon and also with malignant
soft tissue tumours of infancy.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Plastic, Reconstructive & Aesthetic SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Kaposiform hemangioendothelioma of infancy and childhood. An aggressive neoplasm associated with Kasabach–Merritt syndrome and lymphangiomatosis.Am J Surg Pathol. 1993; 17: 321-328
- Capillary hemangioma with extensive purpura: report of a case.Am J Dis Child. 1940; 59: 106-1070
- Thrombocytopenic coagulopathy (Kasabach–Merritt phenomenon) is associated with Kaposiform hemangioendothelioma and not with common infantile hemangioma.Plast Reconstr Surg. 1997; 100: 1377-1386
- Infants with Kasabach–Merritt syndrome do not have “true” hemangiomas.J Pediatr. 1997; 130: 631-640
- Multifocal congenital hemangiopericytomas associated with Kasabach–Merritt Syndrome.Br J Plast Surg. 1995; 48: 240-242
- Infantile hemangiopericytoma versus infantile myofibromatosis. Study of a series suggesting a continuous spectrum of infantile myofibroblastic lesions.Am J Surg Pathol. 1994; 18: 922-930
- Infantil myofibroma in a prematurely born twin: a case report.Pediatr Dermatol. 2003; 4: 345-349
- Solitary cutaneous “infantile” myofibroma in a 49-year-old woman.Hum Pathol. 1990; 21: 562-564
- Solitary mucosal “infantile myofibroma” in a 21-year-old man.J Oral Maxillofac Surg. 1999; 57: 448-451
- Congenital generalised fibromatosis with complete spontaneous regression. A case report.J Bone Joint Surg Am. 1972; 54A: 657-662
Article info
Publication history
Published online: May 24, 2006
Accepted:
January 13,
2006
Received:
April 5,
2005
Identification
Copyright
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.