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  • Title: Congenital neurocristic tumor presenting as an isolated calvarial defect in an infant: case report.
    Author: Hadley C, Mohila CA, Luerssen TG, Lam S.
    Journal: J Neurosurg Pediatr; 2015 Jul; 16(1):46-9. PubMed ID: 25837885.
    Abstract:
    In infants, the presence of a cranial defect may be due to a variety of traumatic, inflammatory, neoplastic, and congenital abnormalities. Differentiation between these possible etiologies is facilitated by clinical presentation, patient history, and physical examination. Congenital cutaneous neural crest-derived lesions are unlikely to be considered in a patient presenting with an asymptomatic cranial defect without overlying mass or skin pigmentation. The authors present an unusual case of a 2-month-old infant with an asymptomatic calvarial defect with normal overlying skin. Pathology of the excised tissue showed features consistent with a congenital neurocristic tumor: a pigmented, neural crest-derived hamartomatous tumor that typically presents as a melanotic skin lesion.
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