Benign soft tissue mass of infancy and young children, showing organoid, triphasic morphology with bundles of bland fibroblastic/myofibroblastic cells, primitive, rounded, stellate cells with myxoid stroma, and variable amounts of mature adipose tissue
Lesion is complex neoplasm rather than hamartoma
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Drabent P et al: Update on superficial spindle cell mesenchymal tumors in children. Dermatopathology (Basel). 8(3):285-300, 2021
Al-Ibraheemi A et al: Fibrous hamartoma of infancy. In Fletcher CDM et al: World Health Organization Classification of Tumours: Soft Tissue and Bone Tumours. 5th ed. IARC Press. 59-60, 2020
Navarro OM: Pearls and pitfalls in the imaging of soft-tissue masses in children. Semin Ultrasound CT MR. 41(5):498-512, 2020
Yu G et al: Fibrous hamartoma of infancy: a clinical pathological analysis of seventeen cases. Int J Clin Exp Pathol. 8(3):3374-7, 2015
Kransdorf MJ et al: Fibrous and fibrohistiocytic tumors. In Kransdorf MJ et al: Imaging of Soft Tissue Tumors. 3rd ed. Lippincott Williams & Wilkins. 241-3, 2014
Lee S et al: Ultrasonographic features of fibrous hamartoma of infancy. Skeletal Radiol. 43(5):649-53, 2014
Saab ST et al: Fibrous hamartoma of infancy: a clinicopathologic analysis of 60 cases. Am J Surg Pathol. 38(3):394-401, 2014
Stensby JD et al: Benign fibrous hamartoma of infancy: a case of MR imaging paralleling histologic findings. Skeletal Radiol. 43(11):1639-43, 2014
Weiss SW et al: Fibrous tumors of infancy and childhood. In Weiss SW et al: Enzinger and Weiss' Soft Tissue Tumors. 5th ed. Elsevier. 257-61, 2008
Hashimoto H: Fibrous hamartoma of infancy. In Fletcher CDM et al: World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press. 58-9, 2002
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KEY FACTS
Terminology
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Top Differential Diagnoses
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TERMINOLOGY
Synonyms
Subdermal fibromatous tumor of infancy
Definitions
Benign soft tissue mass of infancy and young children, showing organoid, triphasic morphology with bundles of bland fibroblastic/myofibroblastic cells, primitive, rounded, stellate cells with myxoid stroma, and variable amounts of mature adipose tissue
Lesion is complex neoplasm rather than hamartoma
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Drabent P et al: Update on superficial spindle cell mesenchymal tumors in children. Dermatopathology (Basel). 8(3):285-300, 2021
Al-Ibraheemi A et al: Fibrous hamartoma of infancy. In Fletcher CDM et al: World Health Organization Classification of Tumours: Soft Tissue and Bone Tumours. 5th ed. IARC Press. 59-60, 2020
Navarro OM: Pearls and pitfalls in the imaging of soft-tissue masses in children. Semin Ultrasound CT MR. 41(5):498-512, 2020
Yu G et al: Fibrous hamartoma of infancy: a clinical pathological analysis of seventeen cases. Int J Clin Exp Pathol. 8(3):3374-7, 2015
Kransdorf MJ et al: Fibrous and fibrohistiocytic tumors. In Kransdorf MJ et al: Imaging of Soft Tissue Tumors. 3rd ed. Lippincott Williams & Wilkins. 241-3, 2014
Lee S et al: Ultrasonographic features of fibrous hamartoma of infancy. Skeletal Radiol. 43(5):649-53, 2014
Saab ST et al: Fibrous hamartoma of infancy: a clinicopathologic analysis of 60 cases. Am J Surg Pathol. 38(3):394-401, 2014
Stensby JD et al: Benign fibrous hamartoma of infancy: a case of MR imaging paralleling histologic findings. Skeletal Radiol. 43(11):1639-43, 2014
Weiss SW et al: Fibrous tumors of infancy and childhood. In Weiss SW et al: Enzinger and Weiss' Soft Tissue Tumors. 5th ed. Elsevier. 257-61, 2008
Hashimoto H: Fibrous hamartoma of infancy. In Fletcher CDM et al: World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. IARC Press. 58-9, 2002
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