Abstract：
BACKGROUND:Fibrous hamartoma (FH) of infancy is a benign mesenchymal tumor, occurring as a superficial mass. Complete excision is curative. OBJECTIVE AND METHODS:The clinical features and treatment results of 18 children with FH are described. RESULTS:Local excision was the most common procedure. Surgery was radical in 10 patients, with microscopic residual disease in 6; all of them are alive with no evidence of disease 2 to 49 months after diagnosis. One patient, treated with a local reexcision for macroscopic residual disease (and chemotherapy for a synchronous desmoid fibromatosis) is well 83 months after diagnosis; the last patient, with a lesion of the labia majora, only underwent biopsy and is doing well, awaiting plastic surgery. LIMITATIONS:The results did not reach statistical significance due to difficulties in collecting cases. CONCLUSIONS:FH should be treated by complete excision; in our experience a nonradical excision was also able to achieve the cure. An aggressive approach should be avoided, as the overall prognosis is excellent.
journal_name
J Am Acad Dermatoljournal_title
Journal of the American Academy of Dermatologyauthors
Carretto E,Dall'Igna P,Alaggio R,Siracusa F,Granata C,Ferrari A,Cecchetto Gdoi
10.1016/j.jaad.2005.11.1076subject
Has Abstractpub_date
2006-05-01 00:00:00pages
800-3issue
5eissn
0190-9622issn
1097-6787pii
S0190-9622(05)04619-0journal_volume
54pub_type
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