Recurring digital fibromas of infancy.

SUMMARY Recurring digital fibromas are distinguished by their occurrence in infants, their almost exclusive predilection for the fingers and toes, their tendency to recur and their characteristic inclusion bodies. At the Royal Alexandra Hospital for Children (RAHC) thirty cases were seen in thirty-six years. The patients were twenty females and ten males, aged 0–7 years, including two with congenital lesions. The fingers and toes were equally affected, and one unusual case involved the side of the hand. Multiple lesions occurred in 50% of patients, more often on the fingers, especially on adjacent fingers (six cases) and two patients had bilateral lesions. Although some lesions had infiltrated down to the periosteum, no metastases occurred in our series, or in the cases in the literature. As growth rate may be alarming, some of these tumours have been treated aggressively, but evidence suggests that a conservative approach should be followed.