Infantile fibrosarcoma as the great mimicker of infantile haemangioma on imaging

Mr Emilia Rosniza, Cd Che Zubaidah, Md T. Arni, Faizah Mohd Zaki

Research output: Contribution to journalArticle

Abstract

Infantile fibrosarcoma (IF) is a rare malignant soft tissue tumour in infancy. It can be mistaken as a benign vascular tumour as both share similar clinical presentation and imaging features. We present a 4-month-old girl that initially presented with a small red spot lesion over the right wrist since two weeks of life which had progressively increased in size. The magnetic resonance imaging features were suggestive of a benign vascular tumour that was thought to be an infantile haemangioma. Child underwent total excision of the lesion. However, histopathological examination revealed an infantile fibrosarcoma. We discuss and highlight the radiological features of IF, which often overlaps with vascular benign tumour and also discuss some of the salient features to differentiate between these two diagnoses, as it will lead to different prognosis and management. We believed that in a large soft tissue lesion, whenever the size increases rapidly and disproportionate to the growth of the child, a malignant lesion needs to be excluded and IF should be in the differential diagnosis especially when there is additional presence of intratumoural bleed.

Original languageEnglish
Pages (from-to)97-100
Number of pages4
JournalHong Kong Journal of Paediatrics
Volume24
Issue number2
Publication statusPublished - 1 Jan 2019

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Fibrosarcoma
Hemangioma
Blood Vessels
Neoplasms
Wrist
Differential Diagnosis
Magnetic Resonance Imaging
Growth

Keywords

  • Infantile fibrosarcoma
  • Infantile haemangioma
  • MRI

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Infantile fibrosarcoma as the great mimicker of infantile haemangioma on imaging. / Rosniza, Mr Emilia; Zubaidah, Cd Che; Arni, Md T.; Mohd Zaki, Faizah.

In: Hong Kong Journal of Paediatrics, Vol. 24, No. 2, 01.01.2019, p. 97-100.

Research output: Contribution to journalArticle

Rosniza, Mr Emilia ; Zubaidah, Cd Che ; Arni, Md T. ; Mohd Zaki, Faizah. / Infantile fibrosarcoma as the great mimicker of infantile haemangioma on imaging. In: Hong Kong Journal of Paediatrics. 2019 ; Vol. 24, No. 2. pp. 97-100.
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