Aggressively recurrent infantile myofibroma of the axilla and shoulder girdle.
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.
Green
Matthew C
MC
Montefiore Medical Center, 429 Third Avenue, Pelham, NY 10803, USA. mattgreenmd@gmail.com
Dorfman
Howard D
HD
Villanueva-Siles
Esperanza
E
Gorlick
Richard G
RG
Thornhill
Beverly A
BA
Weber
Renata V
RV
Geller
David S
DS
D000293:Adolescent; D001365:Axilla; D006801:Humans; D008297:Male; D019042:Muscle Neoplasms / Q000175:diagnosis*; D047708:Myofibroma / Q000175:diagnosis*; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*; D011859:Radiography; D012785:Shoulder Joint / Q000000981:diagnostic imaging* / Q000473:pathology*