Zuhal AKÇÖREN, Münevver BÜYÜKPAMUKÇU, Bilgehan YALÇIN, Arbay Ozden CİFTCİ, Begül KÜPELİ YAĞCI, Mithat HALİLOGLU

Gluteal congenital fibrous hamartoma of infancy: A case report

İnfantil fibröz hamartom sıklıkla hayatın ilk yılında görülen, nadir ve benign bir subkutan tümördür. Hastalar genellikle üst ekstremite yerleşimli ağrısız ve hızlı büyüyen bir kitle nedeniyle başvurmaktadır. Kitlenin radyolojik özellikleri ve hızlı büyüme özelliği nedeniyle yumuşak doku sarkomlarından ayırt edilmesi zor olabilir. Burada büyük bir gluteal kitle ile başvuran 5 aylık bir erkek çocukta infiltratif malign tümör özellikleri gösteren fibröz hamartom olgusu sunulmaktadır.

Konjenital infantil fibröz hamartom: Bir olgu sunumu

Fibrous hamartoma of infancy (FHI) is a rare benign subcutaneous tumor which is commonly seen in the first year of life. Patients usually present with a single, painless, rapidly growing mass located mostly on the upper extremities. It can be difficult to distinguish this lesion from the malignant soft tissue sarcomas because of the rapid growth and radiological characteristics. Here we report a 5-month-old boy with a large gluteal mass and cutaneous findings which was initially thought to be an infiltrative malignant tumor and finally diagnosed as FHI.

PDF

___

1. Kang G, Suh YL, Han J. Fibrous hamartoma of infancy: an experience of a single institute. J Korean Surg Soc. 2011; 81:61-5.
2. Coffin CM, Alaggio R, Dehner LP. Some general considerations about the clinicopathologic aspects of soft tissue tumors in children and adolescents. Pediatr Dev Pathol. 2012; 15:11-25.
3. Gökdemir G, Ekmen S, Güngör s, Ralfi S. Perianal rhabdomyosarcoma: report of a case and review of the literature. Pediatr Dermatol 2012 doi: 10.1111/j.1525-1470.2011.01684.x. [Epub ahead of print]
4. Habibi Z, Nejat F, Naeini PE, Mahjoub F. Teratoma inside a myelomeningocele. J Neurosurg. 2007;106:467-77.
5. Dickey GE and Sotelo-Avila C. Fibrous hamartoma of infancy: current review. Pediatric and Developmental Pathology. 1999; 2: 236-43.
6. Carretto E, Dall'Igna P, Alaggio R, Siracusa F, Granata C, Ferrari A, Cecchetto G. Fibrous hamartoma of infancy: an Italian multi-institutional experience. J Am Acad Dermatol. 2006;54:800-3.
7. Sotelo-Avila C, Bale PM. Subdermal fibrous hamartoma of infancy: pathology of 40 cases and differential diagnosis. Pediatr Pathol. 1994;14:39-52
8. Yoon YT, Kim JW. Fibrous hamartoma of infancy manifesting as multiple nodules with hypertrichosis. J Dermatol. 2006; 33:427-9.
9. Grynspan D, Meir K, Senger C, Ball NJ. Cutaneous changes in fibrous hamartoma of infancy. J Cutan Pathol. 2007; 34:39-43.
10. Schropp C, Sörensen N, Collmann H, Krauss J. Cutaneous lesions in occult spinal dysraphism--correlation with intraspinal findings. Childs Nerv Syst. 2006; 22:125-31.
11. Wong SN, Tay YK. Tufted angioma: a report of five cases. Pediatr Dermatol. 2002; 19:388-93.
12. Imaji R, Goto T, Takahashi Y, Akiyama T, Yamadori I. A case of recurrent and synchronous fibrous hamartoma of infancy. Pediatr Surg Int. 2005;21:119-20.
13. Efem SE, Ekpo MD. Clinicopathological features of untreated fibrous hamartoma of infancy. J Clin Pathol. 1993; 46:522-4.
14. Jung PM, Hong EK. Fibrous hamartoma of infancy manifested as multiple nodules-a case report. J Korean Med Sci. 1990; 5:243-7.