Misdiagnosed High-Grade Undifferentiated Sarcoma Mimicking Infantile Myofibroma: A Case Report.

Accurate prenatal diagnosis of fetal masses is challenging due to their varied presentation and the limitations of current imaging modalities, which are typically restricted to obstetric US and non-contrast fetal MRI. We present a case involving a right forearm mass first identified on prenatal US a...

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Publicado en:Applied Radiology Vol. 55; no. 2; pp. 1 - 4
Autores principales: Bhanvadia, Soham, Risch, Mary Jane, Goncalves, Luis, Desai, Sudhen
Formato: case study diagnostic images Journal Article
Publicado: Anderson Publishing Ltd. Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
      vid: 55
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      pub: Anderson Publishing Ltd.
      place: Scotch Plains, New Jersey
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        atl: Misdiagnosed High-Grade Undifferentiated Sarcoma Mimicking Infantile Myofibroma: A Case Report.
      aug:
        au:
          Bhanvadia, Soham
          Risch, Mary Jane
          Goncalves, Luis
          Desai, Sudhen
        affil: Midwestern University Arizona College of Osteopathic Medicine, Glendale, Arizona
      sug:
        subj:
          Prenatal Diagnosis
          Sarcoma Diagnosis
          Neoplasms, Fibrous Tissue Diagnosis
          Diagnostic Errors
          Fetus
          Magnetic Resonance Imaging In Utero
          Pediatrics
          Oncology
          Ultrasonography, Prenatal
          Biopsy
          Humerus Surgery
          Amputation
          Sarcoma Pathology
          Disarticulation
          Sarcoma Drug Therapy
          Chemotherapy, Cancer
          Vascular Malformations
          Hemangioma
          Rhabdomyosarcoma
          Osteogenesis Imperfecta
          Infant, Newborn
          Infant
          Fetus, conception to birth
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
      ab: Accurate prenatal diagnosis of fetal masses is challenging due to their varied presentation and the limitations of current imaging modalities, which are typically restricted to obstetric US and non-contrast fetal MRI. We present a case involving a right forearm mass first identified on prenatal US and MRI, which initially appeared benign and was diagnosed as infantile myofibroma following excisional biopsy. However, due to rapid growth and persistent symptoms, the patient ultimately underwent transhumeral amputation, with final pathology revealing a high-grade undifferentiated sarcoma. This case highlights the diagnostic complexity of fetal soft tissue tumors and underscores the importance of maintaining a broad differential, including malignancy, even when imaging and initial pathology suggest a benign process.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        Journal Article
      ougenre: Article
    language: English
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