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Cytologic diagnosis of a melanotic neuroectodermal tumor of infancy occurring in the cranial bones

✍ Scribed by J.D. Rege; Tanuja Shet; H.V. Sawant; L.P. Naik


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
216 KB
Volume
21
Category
Article
ISSN
8755-1039

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✦ Synopsis


Melanotic neutroectodermal tumor of infancy (MNTI) is a rare, usually benign tumor commonly occurring in the maxilla. MNTIs at unusual sites like the cranium clinically mimic malignant small round cell tumors. Consequently, a correct preoperative cytologic diagnosis of MNTI at these sites helps in the surgical management of the patient.

We report on a cytologically diagnosed case of MNTI in the frontotemporal region of the skull in an infant. Aspirates from the lesion were cellular, with a bimodal population mainly of small neuroblast-like cells admixed with a few large epithelioid cells with melanin granules. In the present case, following the cytologic diagnosis a wide local excision was carried out, and the histologic examination confirmed the cytologic diagnosis.