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Infantile myofibromatosis in Infant/Neonate
Other Resources UpToDate PubMed

Infantile myofibromatosis in Infant/Neonate

Contributors: Kimberley R. Zakka MD, MSc, Craig N. Burkhart MD, Dean Morrell MD, Susan Burgin MD
Other Resources UpToDate PubMed


Infantile myofibromatosis is the most common fibrous tumor of infancy. The majority of cases present within the first 2 years of life (90%), and 60% present at birth. While most cases are sporadic, familial cases have been reported. Infantile myofibromatosis occurs more commonly in boys (60%). There are 3 forms of the disease: solitary (the most common), multicentric, and generalized. The multicentric form appears more often at birth and in girls.

In the solitary form, a single papule or nodule affecting the skin, subcutaneous tissue, or muscle is present, most commonly on the trunk, head, or neck. In the multicentric form, lesions can be seen in the bone and viscera. Skeletal lesions occur in more than half of cases, with the skull, femur, tibia, spine, and ribs involved most commonly. The generalized form of the disease is characterized by visceral involvement and usually has a poor prognosis. The most common sites of visceral involvement include the heart, lung, bones, and gastrointestinal (GI) tract.

Without visceral involvement, the prognosis is favorable: it is typically benign and self-limited and has a low recurrence rate.

PDGFRB germline mutations have been associated with inflammatory myofibromatosis in some cases and may predispose to the formation of cerebral aneurysms.


Q89.8 – Other specified congenital malformations

254146000 – Infantile myofibromatosis

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Differential Diagnosis & Pitfalls

  • Cutaneous leiomyoma
  • Infantile hemangioma
  • Infantile fibrosarcoma
  • Metastatic Neuroblastoma (see Congenital neuroblastoma)
  • Other infantile fibromatoses (eg, Hyaline fibromatosis syndrome)

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Last Reviewed:07/15/2023
Last Updated:07/16/2023
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Infantile myofibromatosis in Infant/Neonate
A medical illustration showing key findings of Infantile myofibromatosis (Solitary Type) : Head/neck, Trunk, Solitary lesion
Clinical image of Infantile myofibromatosis - imageId=72924. Click to open in gallery.  caption: 'A tiny pink papule with scant overlying scale on the finger.'
A tiny pink papule with scant overlying scale on the finger.
Copyright © 2024 VisualDx®. All rights reserved.