-Case Reports-

Infantile Myofibroma: Case Report and Review of the Literature

Azusa Ogita and Shin-ichi Ansai

Department of Dermatology and Dermatopathology, Nippon Medical School Musashi Kosugi Hospital, Kanagawa, Japan

We report a case of solitary infantile myofibroma (IM) with partially CD34-positive neoplastic cells on the back of a newborn boy. Ultrasonography showed a multilocular mass with a hypoechoic center surrounded by an isoechoic rim. Histopathological analysis revealed that the lesion was composed of small, round cells that were tightly packed and uniform. The cells had oval nuclei and were pale, CD34-positive, and richly cellular. They had interlacing fascicles of spindle cells with features of myofibroblasts with α-smooth muscle actin positivity. We speculate that neoplastic cells in most IMs differentiate towards myofibroblasts. However, in rare cases, their differentiation is more primitive and they express CD34, with or without α-smooth muscle actin expression.

J Nippon Med Sch 2020; 87: 355-358

Keywords
infantile myofibroma, CD34, solitary, infantile hemangiopericytoma

Correspondence to
Azusa Ogita, Department of Dermatology and Dermatopathology, Nippon Medical School Musashi Kosugi Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan
azu@nms.ac.jp

Received, May 7, 2020
Accepted, June 19, 2020