Congenital fibrosarcoma masquerading as lymphatic malformation: report of two cases.
Two infants presented with a congenital cervicothoracic mass; both were initially diagnosed as having lymphatic malformation. A biopsy specimen for one child and excision for the other showed that both lesions were congenital fibrosarcomas. Postoperative chemotherapy was administered to both children. One died within 6 months of incisional biopsy from widespread metastatic disease; the other is still being treated. Congenital fibrosarcoma can be confused in its clinical presentation, radiographic findings, and histopathology with lymphatic malformation (cystic hygroma).
Hayward
P G
PG
Division of Plastic Surgery, Children's Hospital, Harvard Medical School, Boston, MA 02115.
Orgill
D P
DP
Mulliken
J B
JB
Perez-Atayde
A R
AR
D001365:Axilla; D003937:Diagnosis, Differential; D005354:Fibrosarcoma / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007223:Infant; D018191:Lymphangioma, Cystic / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D012782:Shoulder; D013909:Thorax