Chemotherapy for Generalized Infantile Myofibromatosis With Visceral Involvement.

J Pediatr Hematol Oncol

*University of Texas Southwestern Medical School †Department of Pediatrics, Division of Hematology-Oncology Departments of §Radiology ¶Pathology ∥Molecular Biology, University of Texas Southwestern Medical Center at Dallas ‡The Center for Cancer and Blood Disorders and Children's Medical Center Dallas, Dallas, TX.

Published: July 2015

AI Article Synopsis

  • Infantile myofibromatosis (IM) typically presents as skin lesions that can heal on their own, but a severe form with internal organ involvement has a high mortality rate.
  • This severe generalized IM has been effectively treated with a combination of methotrexate and vinblastine, showing promising results.
  • The study discusses the successful application of low-dose methotrexate and vinblastine in two pediatric patients and reviews existing research on chemotherapy options for IM.

Article Abstract

Infantile myofibromatosis (IM) is most commonly limited to cutaneous lesions that resolve spontaneously. However, generalized IM with visceral involvement, which has a reported mortality rate as high as 73%, has been successfully treated with a combination of methotrexate and vinblastine. Here we report the further efficacy of low-dose methotrexate and vinblastine in 2 pediatric patients with IM and visceral involvement and review the literature describing chemotherapy for these patients.

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http://dx.doi.org/10.1097/MPH.0000000000000132DOI Listing

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