Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology

Case 37

Clinical History:
Newborn term male who was noted to have a nasal mass at 23 weeks gestational age on ultrasound. The mass grew with the fetus over time. The child was born by scheduled cesarean section on the day of admission.

Clinical Physical Exam:
The child had a 25 x 19 cm purple nasal mass, cystic in consistency, attached by a 2 cm stalk to the entire nasal tip.

Images 1 and 2

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Congenital nasal mass

Imaging Findings:
A lateral view of the skull and a computed tomography exam from the first day of life showed a large heterogeneous nasal mass that splayed the nasal bones.

Image 3

Images 4 and 5

Imaging Differential Diagnosis:
Teratoma

Operative Findings:
On the first day of life, the child was taken to the operating room. The mass was excised and the splayed upper lateral cartilages and nasal septum were opposed.

Pathological Findings:
Examination of the surgical specimen revealed findings characteristic of a teratoma.

Image 6

Image 7

Images 8 and 9

Final Diagnosis:
Teratoma of the Nasal Tip

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.

Similar Cases:
None

References:

• WebPath
• WebPath

URL: http://www.virtualpediatrichospital.org/