Evidence map›Paper›PMID 41641435›Full record

ArticleCase reports in pediatrics2026

Out of Hand, Out of Control-Fibrous Hamartoma of Infancy of the Hand: A Case Report.

Josh Nathan L Ngai, Agnes R Mendoza, Mary Beth F Tanco

Abstract read
In one paragraph

Article in Case reports in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Josh Nathan L NgaiInstitute of Pediatrics and Child Health, St. Luke's Medical Center, Quezon City, Philippines, stluke.com.ph.ORCID https://orcid.org/0009-0002-7066-9335
Agnes R MendozaInstitute of Pediatrics and Child Health, St. Luke's Medical Center, Quezon City, Philippines, stluke.com.ph.
Mary Beth F TancoInstitute of Pediatrics and Child Health, St. Luke's Medical Center, Quezon City, Philippines, stluke.com.ph.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fibrous hamartoma of infancy (FHI) is a rare benign tumor typically found in the axilla or trunk. Distal extremity involvement is exceptional. We present the first documented case of FHI of the hand in the Philippine literature, highlighting the conflict between oncologic clearance and functional preservation. Case Presentation: A 7-month-old male presented with an enlarging hypothenar mass. Initial ultrasonography revealed a heterogenous mass with intralesional cystic spaces, leading to a misdiagnosis of hemangioma despite the absence of significant flow on Doppler interrogation. Propranolol treatment failed. MRI revealed a poorly encapsulated mass encasing muscles, raising suspicion for malignancy. Intraoperatively, the tumor appeared as matted tissue with nondelineated borders, encroaching on neurovascular structures. To preserve hand function, a subtotal excision was performed rather than radical en bloc removal. Histopathology confirmed the triphasic components diagnostic of FHI. Conclusion: Local recurrence was noted 6 months postoperatively before the patient was lost to follow-up. This case underscores the diagnostic challenge of FHI in the hand due to vascular mimicry. Furthermore, the tumor's infiltrative nature in complex anatomy forces a difficult trade-off: Radical excision offers cure but risks functional devastation, whereas functional preservation carries a high risk of recurrence.

Indexed as

case reportfibrous hamartoma of infancypediatric hand tumorPhilippinessoft tissue mass

Identifiers

PMID41641435
PMCPMC12865314

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.