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Infantile fibromatosis of the mandible: a case report

¹ Department of Radiology, University Hospital of Heraklion, Crete, Greece, ² Department of Pediatric Hematology, University Hospital of Heraklion, Crete, Greece, ³ Department of Pathology, University Hospital of Heraklion, Crete, Greece, ⁴ Department of Otolaryngology, University Hospital of Heraklion, Crete, Greece

*Correspondence to: Miltiadis Krokidis, MD, Department of Radiology, University Hospital of Heraklion, Stavrakia-Voutes, 71500, Heraklion, Crete, Greece; E-mail: mkrokidis{at}hotmail.com

Received 18 March 2007; revised 2 May 2007; accepted 4 May 2007

We report an aggressive tumour in a 5-year-old girl causing facial disfigurement. Imaging confirmed a solid, diffusely enhancing mass at the right internal pterygoid muscle, infiltrating the adjacent bone. Surgical excision and reconstruction of the mandible were performed. Histology revealed aggressive infantile fibromatosis. No recurrence was noted 7 months later. Infantile fibromatosis may mimic malignancies and should be considered in aggressive mandibular soft tissue masses, in order to carefully plan biopsy and reconstructive surgery.

Keywords: infantile fibromatosis; mandible; child; magnetic resonance imaging; computed tomography