Ne report one case of Solitary infantile Myofibromatosis of Bone in a
14-year old girl. Radiologic features of the tibial lesion were consis
tent with the diagnosis of a benign bone tumor. The final diagnosis wa
s made on a total resection of the tumor. Histologically, the tumor co
nsisted of nodules, hyalinized or cellular, with spindle-shaped cells
resembling fibroblasts or smooth-muscle cells. There were numerous vas
cular spaces in close contact with these nodules. The tumor cells were
immunoreactive with anti-alpha-smooth muscle actin antibodies. These
data were consistent with the diagnosis of Myofibromatosis. The histol
ogic features were similar to those of Infantile Myofibromatosis of ot
her sites such as skin and soft tissue. The case reported is rare and
not yet published due to the age and sex of the patient, and the locat
ion of the tumor.