Department of Neurosurgery, Ibn Tofail Hospital, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy in Marrakech, Cadi Ayyad University, Marrakech, Morocco.
Pan Afr Med J. 2024 Feb 12;47:62. doi: 10.11604/pamj.2024.47.62.42413. eCollection 2024.
Melanotic neuroectodermal tumor of infancy is a rare and usually benign neoplasm occurring in children of young age. This pigmented tumor typically presents in the head and neck region, but other locations may be involved. We report in this article a rare case of a 3-month-old girl presenting with a slowly growing mass localized in the anterior fontanelle. The patient's magnetic resonance imaging (MRI) showed a mass extending both extracranial and intracranial, and compressing the adjacent structures. The patient underwent subtotal resection of the mass and a histological study confirmed the diagnosis of melanotic neuroectodermal tumor of infancy. The patient presented later on with a recurrence. An early diagnosis and surgical management for these tumors remain the only guarantees to limit the progression and prevent their recurrence and metastasis.
婴儿黑色素神经外胚层肿瘤是一种罕见且通常为良性的肿瘤，发生于幼儿。这种色素性肿瘤通常发生在头颈部，但也可能涉及其他部位。我们在本文报告了一例罕见的 3 个月大女婴，其在前囟局部出现缓慢生长的肿块。患者的磁共振成像（MRI）显示肿块同时向颅外和颅内延伸，并压迫邻近结构。患者接受了肿块的次全切除术，组织学研究证实了婴儿黑色素神经外胚层肿瘤的诊断。该患者后来出现了复发。早期诊断和手术治疗是限制肿瘤进展、预防复发和转移的唯一保证。
