婴儿肌纤维瘤表现为新生儿的巨大溃疡性结节。
Infantile Myofibroma Presenting as a Large Ulcerative Nodule in a Newborn.
作者信息
Shahzad Farooq, Chappell Ava G, Purnell Chad A, Aldulescu Monica, Chamlin Sarah
机构信息
Ann & Robert H. Lurie Children's Hospital, Chicago, Illinois, USA.
Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
出版信息
Case Rep Pediatr. 2019 Sep 17;2019:3476508. doi: 10.1155/2019/3476508. eCollection 2019.
Abstract
The differential diagnosis of a congenital cutaneous vascular-appearing mass in a newborn is broad and includes both benign and malignant tumors. We report the case of a newborn who presented with an erythematous exophytic skin nodule on the right upper leg. Excision was performed due to ulceration, concern for bleeding, and for diagnosis. Pathology revealed the mass to be an infantile myofibroma. This case highlights the importance of considering a broad differential diagnosis in a newborn with a cutaneous mass. While history, physical exam, and imaging can help diagnose some cases, a biopsy or excision is often needed to distinguish benign lesions from more concerning lesions.
摘要
新生儿先天性皮肤血管样肿物的鉴别诊断范围广泛，包括良性和恶性肿瘤。我们报告一例新生儿病例，该患儿右大腿出现一个红色外生性皮肤结节。由于溃疡、出血风险及诊断需要，进行了切除手术。病理检查显示该肿物为婴儿型肌纤维瘤。此病例凸显了对有皮肤肿物的新生儿进行广泛鉴别诊断的重要性。虽然病史、体格检查和影像学检查有助于诊断某些病例，但通常需要活检或切除以区分良性病变和更可疑的病变。
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