Сам же отвечу. 
Получилось реализовать нужное мне с помощью: 
https://github.com/mscdex/busboy
Она обновляется и стабильно работает. 
Простейший пример: 
var http = require('http'),
    inspect = require('util').inspect;
var Busboy = require('busboy');
http.createServer(function(req, res) {
  if (req.method === 'POST') {
    var busboy = new Busboy({ headers: req.headers });
    busboy.on('file', function(fieldname, file, filename, encoding, mimetype) {
      console.log('File [' + fieldname + ']: filename: ' + filename + ', encoding: ' + encoding + ', mimetype: ' + mimetype);
      file.on('data', function(data) {
        console.log('File [' + fieldname + '] got ' + data.length + ' bytes');
      });
      file.on('end', function() {
        console.log('File [' + fieldname + '] Finished');
      });
    });
    busboy.on('field', function(fieldname, val, fieldnameTruncated, valTruncated, encoding, mimetype) {
      console.log('Field [' + fieldname + ']: value: ' + inspect(val));
    });
    busboy.on('finish', function() {
      console.log('Done parsing form!');
      res.writeHead(303, { Connection: 'close', Location: '/' });
      res.end();
    });
    req.pipe(busboy);
  } else if (req.method === 'GET') {
    res.writeHead(200, { Connection: 'close' });
    res.end('<html><head></head><body>\
               <form method="POST" enctype="multipart/form-data">\
                <input type="text" name="textfield"><br />\
                <input type="file" name="filefield"><br />\
                <input type="submit">\
              </form>\
            </body></html>');
  }
}).listen(8000, function() {
  console.log('Listening for requests');
});