Table 1 Thirteen paediatric patients presenting with unusual facial masses and investigated by MRI between April 2007 and May 2013
From: Let’s face it – 13 unusual causes of facial masses in children
Patient | Age/Sex | Presentation | Management | Histological diagnosis | HIV status | Outcome |
|---|---|---|---|---|---|---|
1 | Newborn, F | Swelling over mandible at birth with associated stridor requiring tracheostomy | Surgical excision | Congenital thyroid fetiform teratoma | Unknown | Discharged |
2 | Newborn, F | Right facial mass at birth | Oncology | Congenital embryonal RMS | Unknown | Died aged 9 m |
3 | 2y 7 m, F | Facial swelling left parotid region since birth | Surgical excision | Parotid hamartoma | Negative | Recurrence |
3y 5 m, F | Parotid swelling increasing in size since surgery | Bleomycin injection | Recurrence | Negative | Stable | |
4 | 7y 6 m, F | Right parotid swelling for 10 days | Abscess incision and drainage | Culture-confirmed TB mandible | Negative | Discharged upon completion of Rx |
5 | 1y 6 m, F | Facial swelling left parotid region for 1 year | Surgical excision | Pilomatrixoma | Unknown | Discharged |
6 | 10y 3 m, F | Swelling over central mandible for 1 year | Surgical excision | Giant cell granuloma | Unknown | Discharged |
7 | 10y 8 m, F | Right facial swelling for 9 months | Patient elected return to local hospital for management | Maxillary schwannoma | Unknown | Uncertain |
8 | 4 m, F | Left cheek swelling since 3 weeks of age | Surgical excision | Infantile fibrosarcoma | Negative (HIV exposed) | Oncology follow-up |
9 | 4y 3 m, M | Right facial swelling for 1 month | Oncology | Parameningeal RMS | Unknown | Died aged 5y 4 m |
10 | 1y 8 m, M | Left facial mass for 8 months | Oncology | Composite yolk sac and rhabdoid tumour | Unknown | Died aged 2y 1 m |
11 | 11y 1 m, M | Generalised facial swelling for 1 month | Oncology, antiretrovirals | Plasmablastic lymphoma | Positive | Oncology follow-up |
12 | 3y 8 m, M | Left jaw mass for 2 days | Oncology, antiretrovirals | Burkitt lymphoma | Positive | Oncology/Infectious Diseases follow-up |
13 | 7y 1 m, F | Marasmic left parotid mass for 2 months | Oncology, antiretrovirals | Mucoepidermoid carcinoma | Positive | Oncology follow-up |