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        Atypical Fibroxanthoma

              Dr Sampurna Roy MD

 
 
 

          

Congenital epulis, a rare benign tumour of the newborn, usually arise from the lateral alveolar ridge of the maxilla and is commoner in girls. 

Congenital Epulis

Case 10: Case history and images

The congenital hairy polyp, a hamartoma, usually arises in the oropharynx and consists of fat and muscle covered by epidermis with hair follicles, sebaceous and sweat glands.

                 

Oropharyngeal tumor in the newborn: a case report.Neonatology. 2007;91(1):69-72. Epub 2006 Nov 10.

BACKGROUND: An oropharyngeal tumor presenting as a protruding mass from the mouth of the newborn infant is very rare. This mass has the potential to obstruct the airway and requires urgent medical management, diagnosis and appropriate surgical management. OBJECTIVES: To report a case of a newborn with an oropharyngeal mass presenting at birth and focus on key clinical issues for the physician faced with the care of such an infant. METHODS AND RESULTS: We describe a newborn infant who was born with a large mass protruding from the oral cavity at birth, without respiratory distress. The mass was surgically removed with no complications. The histology of the mass revealed it to be a pharyngeal dermoid polyp, also called 'hairy polyp'. The infant did well after tumor removal and was discharged home within a couple of days. CONCLUSIONS: We report a case of a newborn with a pharyngeal dermoid polyp presenting as an oropharyngeal mass.

Hairy polyp of the oropharynx: case report and literature review.J Pediatr Surg. 1996 May;31(5):704-6.

Hairy polyp of the oronasopharynx is an uncommon developmental malformation that is most frequently seen as a pedunculated tumor in the neonate. Derived from the ectoderm and mesoderm, this benign tumor generally has been classified as dermoid. The clinical presentation is dependent on the polyp's size and location. A full-term girl was evaluated for an oral mass that was first noted at the time of birth. Evaluation showed a 5- x 2.5-cm soft, nontender, skin-covered mass that protruded from the oral cavity. During surgery, it was noted that the stalk was attached to the superior pole of the left tonsil. The histology of the mass was consistent with a hairy polyp. Knowledge of this type of malformation facilitates early intervention and avoids significant morbidity.

Hairy polyp of the oropharynx: case report and literature review.J Pediatr Surg.1996 May;31(5):704-6.

Hairy polyp of the oronasopharynx is an uncommon developmental malformation that is most frequently seen as a pedunculated tumor in the neonate. Derived from the ectoderm and mesoderm, this benign tumor generally has been classified as dermoid. The clinical presentation is dependent on the polyp's size and location. A full-term girl was evaluated for an oral mass that was first noted at the time of birth. Evaluation showed a 5- x 2.5-cm soft, nontender, skin-covered mass that protruded from the oral cavity. During surgery, it was noted that the stalk was attached to the superior pole of the left tonsil. The histology of the mass was consistent with a hairy polyp. Knowledge of this type of malformation facilitates early intervention and avoids significant morbidity.

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