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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2020  |  Volume : 25  |  Issue : 3  |  Page : 187
 

Congenital cervical mass in a neonate with secondary scalp swelling


1 Department of Pathology, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India
2 Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India
3 Department of Otolaryngology, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India

Date of Submission18-Oct-2019
Date of Decision14-Dec-2019
Date of Acceptance11-Jan-2020
Date of Web Publication11-Apr-2020

Correspondence Address:
Dr. Nidhi Mahajan
Room No. 404, 4th Floor, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi - 110 031
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.JIAPS_185_19

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How to cite this article:
Khatri A, Mahajan N, Gupta CR, Narang E. Congenital cervical mass in a neonate with secondary scalp swelling. J Indian Assoc Pediatr Surg 2020;25:187

How to cite this URL:
Khatri A, Mahajan N, Gupta CR, Narang E. Congenital cervical mass in a neonate with secondary scalp swelling. J Indian Assoc Pediatr Surg [serial online] 2020 [cited 2020 Aug 13];25:187. Available from: http://www.jiaps.com/text.asp?2020/25/3/187/282149




A rare entity, congenital cervical neuroblastoma (NB) in a 3–week-old male neonate presenting as a large neck mass is discussed [Figure 1]a and [Figure 1]b. Contrast-enhanced computed tomography [Figure 1]c, fine-needle aspiration cytology, and tissue biopsy lead to a definitive diagnosis [Figure 2]. The patient received two cycles of chemotherapy (adriamycin and cyclophosphamide), however succumbed to death due to sepsis. Congenital NB has a good prognosis and may show spontaneous regression despite metastasis.[1],[2] The indexed case is unique in highlighting the rare site, metastasis at presentation, and associated poor outcome. Prenatal diagnosis of these entities ensures timely management and improved survival.
Figure 1: (a) Clinical picture of a huge left cervical mass, (b) scalp swelling, (c) contrast.enhanced computed tomography shows a large heterogeneous mass with central necrosis

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Figure 2: (a) Fine-needle aspiration cytology smears are cellular with sheets of large, round cells with focal rosette formation (Giemsa, ×40), (b) focal presence of neuropil amidst the large cells (Giemsa, ×400), (c) tumor cells show strong immunopositivity for synaptophysin (immunocytochemistry, 3,3'-diaminobenzidine as chromogen, ×100), (d) biopsy shows features of differentiating neuroblastoma (H and E, ×400)

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Lonergan GJ, Schwab CM, Suarez ES, Carlson CL. Neuroblastoma, ganglioneuroblastoma, and ganglioneuroma: Radiologic-pathologic correlation. Radiographics 2002;22:911-34.  Back to cited text no. 1
    
2.
Gorincour G, Dugougeat-Pilleul F, Bouvier R, Lorthois-Ninou S, Devonec S, Gaucherand P, et al. Prenatal presentation of cervical congenital neuroblastoma. Prenat Diagn 2003;23:690-3.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]



 

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