Congenital Infantile Fibrosarcoma: A Masquerader of Ulcerated Hemangioma

Authors

  • Albert C. Yan M.D.,

    1. Departments of Pediatrics and Dermatology, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • Sarah L. Chamlin M.D.,

    1. Departments of Pediatrics and Dermatology, Children's Memorial Hospital and Northwestern University School of Medicine, Chicago, Illinois
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  • Marilyn G. Liang M.D.,

    1. Department of Dermatology, Children's Hospital and Harvard Medical School, Boston, Massachusetts
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  • Benjamin Hoffman M.D.,

    1. Division of General Pediatrics, University of New Mexico School of Medicine, Albuquerque, New Mexico
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  • Edward F. Attiyeh M.D.,

    1. Division of Oncology, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • Benjamin Chang M.D.,

    1. Division of Plastic Surgery, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • Paul J. Honig M.D.

    1. Departments of Pediatrics and Dermatology, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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Address correspondence to Albert C. Yan, M.D., Section of Pediatric Dermatology, Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, or e-mail: yana@email.chop.edu.

Abstract

Abstract:  Congenital infantile fibrosarcoma, a rare malignant tumor of childhood, may present as a highly vascularized mass that is clinically difficult to distinguish from a hemangioma. When ulcerated, significant hemorrhage, anemia, and thrombocytopenia may occur in children with these lesions. This report describes three infants with ulcerated congenital infantile fibrosarcomas of the hand. As appropriate medical and surgical management hinges on timely and appropriate diagnosis, we review the clinical manifestations of these lesions.

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