Congenital infantile digital fibromatosis: a case report and review of the literature

Abstract

Infantile digital fibromatosis (IDF), also called inclusion body fibromatosis is an uncommon benign tumour occurring in the digits of young children. In about a third of cases, it is congenital and the diagnosis is based on the presence of peculiar intracytoplasmic inclusions on histology. Recurrence rate post-surgery is high. However, spontaneous regression has been reported. We present a case of a 5-month-old infant who had excision of a right second toe mass, which has been present from birth. Histological examination revealed this to be infantile digital fibromatosis. To the best of our knowledge, no report of this has been made in Nigeria. It is important that this diagnosis be entertained in young children with masses on the digits as this will influence the management instituted.
 Keywords: Fibromatosis; digits; inclusion body.

Editor’s choice: this December 2020

“…Even during this Covid-19 pandemic, NCDs are forever with thus: cardio-vascular disease nursing care, 21 hypertention, 22 HIV-exposed infants 23 , ECG abnormalities in HIV, 24 left ventricular hypertrophy, 25 epicardial fat, 26 aerobic exercise, 27 insulin resistance, 28 asthma, 29 COPD and sleep, 30 e cigarettes, 31 non- alcoholic liver disease, 32 home care, 33 Bilateral paediatric surgery, 34 self-harm, 35 MRI, 36 osteosarcoma risk, 37 thyroid 38 and gastric esophageal cancer; 39 fibromatosis, 40 prostate cancer, 41 neuro-endocrine tumour, 42 polycystic ovary and vitamin D deficiency, 43 micro RNAs and disease: 44 all will hopefully make us appreciate the burden and effect of this scourge on our people.…”

Inclusion Body Fibromatosis (Infantile Digital Fibromatosis) of the Shoulder in an Older Child: Answer

“…7 Complete surgical excision remains the primary treatment for IBF due to its high risk of recurrence approaching 75%. 8,9 Alternative approaches such as watchful waiting and intralesional steroid injection have shown promise for asymptomatic and slow-growing lesions. Spontaneous regression has been reported in some cases.…”