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  Global Journal of Surgery. Volume 2, Issue 2 (2011) pp. 100-104
  Research Article
Infantile myofibromatosis of the tongue in a newborn
  Hussah Albuainain, Ammar Thabit, Ahmed H. Al-Salem*  
Department of pediatric surgery, Maternity and Children Hospital, Dammam, Saudi Arabia
  Background: Infantile myofibromatosis is a rare benign mesenchymal tumor of infancy and early childhood. Commonly it presents either as a solitary or multiple nodules arising from the soft tissues of the head, neck, trunk or extremities. There are however reports of infantile myofibromatosis affecting unusual sites such as the brain, myocardium, pancreas, spinal cord, omentum, and larynx. Methods: A 12- days old baby boy was referred with tongue swelling and difficulty in feeding. Clinically, there was a firm swelling involving the right half of the tongue. He had MRI of the head and neck. Results: MRI revealed a well circumscribed soft tissue mass affecting the right side of the tongue. Complete excision of the swelling was done and histology showed infantile myofibromatosis. Conclusions: Infantile myofibromatosis although rare , should be considered in the differential diagnosis of newborns or infants who present with tongue swelling and physicians caring for these patients should be aware of this. Although conservative management is advisable for infantile myofibromatosis without visceral involvement, infantile myofibromatosis affecting the tongue may necessitate surgical resection because of difficulty in feeding.
  Infantile myofibromatosis; Mesenchymal tumors; Tongue  

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