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Published on: December 26, 2013
Sinonasal Myxoma: A Distinct Lesion of Infants
Parth Mewar1, Karen E González-Torres2, T Matthew Jacks3
1Head and Neck Pathology, Joint Pathology Center, 606 Stephen Sitter Ave., Silver Spring, MD, 20910-1290, USA. parth.mewar.mil@mail.mil.
Insights
A rare sinonasal myxoma was diagnosed in an 11-month-old infant presenting with facial swelling. Complete surgical resection was successful, highlighting key diagnostic features for this pediatric tumor.
Area of Science:
- Pediatric Oncology
- Oral and Maxillofacial Surgery
- Head and Neck Pathology
Background:
- Sinonasal myxomas are rare benign tumors typically affecting adults.
- Infantile presentation is exceptionally uncommon, posing diagnostic challenges.
Observation:
- An 11-month-old male presented with right-sided nasal and buccal swelling.
- Radiography showed a well-defined, hypodense soft tissue mass in the anterior maxilla.
Findings:
- Histopathological and immunohistochemical analyses confirmed a sinonasal myxoma.
- The lesion was completely excised using a combined extraoral and intraoral approach without complications.
Implications:
- This case expands the known age spectrum for sinonasal myxoma.
- Highlights the importance of considering rare diagnoses in pediatric head and neck masses.
- Emphasizes the utility of multimodal diagnostic approaches in pediatric oncology.
Abstract:
An 11 month old Caucasian male presented with swelling of the right side of the nose and buccal vestibule of unknown duration. Radiographic images revealed a well-circumscribed, hypodense soft tissue mass with a peripheral hyperdense circumference involving the anterior aspect of the right maxilla. The lesion extended from the inferior aspect of the orbital rim superiorly to the maxillary bone inferiorly without invading any nearby structures. The lesion was completely resected via combined extraoral and intraoral approach. The clinical, radiographic, histologic and immunohistochemical features of a sinonasal myxoma in an infant are discussed.
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