Aggressively recurrent infantile myofibroma of the axilla and shoulder girdle |
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Authors: | Matthew C Green Howard D Dorfman Esperanza Villanueva-Siles Richard G Gorlick Beverly A Thornhill Renata V Weber David S Geller |
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Institution: | (1) Montefiore Medical Center, 429 Third Avenue, Pelham, NY 10803, USA;(2) Montefiore Medical Center, 111 East 210th Street, Rosenthal Pavilion, Room 3, Bronx, NY 10467, USA;(3) Montefiore Medical Center, 3353 Bainbridge Avenue, Bronx, NY 10467, USA;(4) Montefiore Medical Center, Medical Arts Pavilion, 3400 Bainbridge Avenue, MMC-MAP, Room 6th Fl, Bronx, NY 10467, USA |
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Abstract: | Infantile myofibroma is the most common fibrous tumor of infancy, typically affecting neonates and children under 2 years
of age. Though the multicentric variant portends a grave prognosis, solitary lesions have an excellent prognosis and frequently
undergo spontaneous regression. Surgical excision of solitary lesions is usually curative. In this report, we describe a pediatric
patient with an unusually aggressive solitary myofibroma of the axilla who ultimately required a forequarter amputation as
a lifesaving measure following multiple tumor recurrences and progressive tumor growth. The clinical course, radiographic
findings, histology, and management rationale are presented. |
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