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Early Surgical Intervention in an Infant with Angiomyxoma: Ensuring Complete Excision and Prevention of Recurrence
Jovitha Maria Jacob1, Akarsh Reddy, Aishwarya Verma
1Department of ENT, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.
Insights
A rare infantile hard palate tumor, angiomyxoma, was successfully treated in an 11-month-old infant. Complete surgical excision led to excellent outcomes with no recurrence at six months, highlighting effective pediatric palatal mass management.
Area of Science:
- Pediatric Oncology
- Oral Pathology
- Surgical Oncology
Background:
- Angiomyxoma is a rare benign mesenchymal tumor.
- It is infrequently found in the infantile hard palate.
- Pediatric palatal masses require careful diagnosis and management.
Purpose of the Study:
- To describe the presentation, diagnosis, and management of a rare infantile angiomyxoma of the hard palate.
- To emphasize the importance of considering angiomyxoma in the differential diagnosis of pediatric palatal masses.
- To highlight the successful surgical treatment and favorable prognosis of this condition.
Main Methods:
- Case report of an 11-month-old male infant with a palatal swelling.
- Diagnostic workup included intraoral examination and contrast-enhanced computed tomography (CT).
- Complete surgical excision via an intraoral approach followed by histopathological confirmation.
Main Results:
- An 11-month-old infant presented with a slowly enlarging, asymptomatic palatal mass.
- CT revealed a well-defined, heterogeneously enhancing cystic lesion without bony erosion.
- Histopathology confirmed angiomyxoma; surgical excision resulted in an uneventful recovery and no recurrence at 6 months.
Conclusions:
- Angiomyxoma, though rare, is a crucial consideration for pediatric palatal masses.
- Cross-sectional imaging and complete surgical excision are key for diagnosis and management.
- Successful management leads to excellent functional and cosmetic outcomes with a low risk of recurrence.
Abstract:
Angiomyxoma is a rare, benign mesenchymal tumor rarely encountered in the infantile hard palate. This case report describes the presentation, diagnostic workup, and successful management of an angiomyxoma in an 11-month-old male infant. An 11-month-old male was presented to the ENT department with a slowly enlarging, asymptomatic palatal swelling first noticed at 9 months of age. Intraoral examination revealed a 2 cm × 2 cm, soft, nontender mass on the anterior hard palate. A contrast-enhanced computed tomography scan identified a well-defined, oval, heterogeneously enhancing cystic lesion (8 mm × 15 mm × 18 mm) with no bony erosion. The patient underwent complete surgical excision under general anesthesia. The lesion was excised in toto via an intraoral approach, revealing a well-encapsulated, gelatinous mass. Histopathological examination confirmed the diagnosis of angiomyxoma, showing spindle cells in a myxoid stroma with numerous thin-walled vessels. The postoperative course was uneventful, and the child resumed feeding normally. At the 6-month follow-up, there was no evidence of recurrence, and both functional and cosmetic outcomes were excellent. This case underscores that angiomyxoma, though rare, should be considered in the differential diagnosis of pediatric palatal masses. A combination of cross-sectional imaging and complete surgical excision is the cornerstone of management, leading to a favorable prognosis with low recurrence risk.
