Melanotic neuroectodermal tumor of infancy is a rare, rapidly growing, painless, pigmented neoplasm with neural crest derivation. It usually occurs during the first year of life and there is a prominent predilection for the maxilla. The purpose of the present report is to describe additional case of melanotic neuroectodermal tumor of infancy of maxilla in a 6-month-old infant male. The treatment included surgical excision with safe margins. No attempt was made for immediate grafting of the surgery site due to high proliferation rate of tissues and self-renewal during infancy. The facial growth was normal and the surgical cleft was tightly closed. Due to the rarity of tumor, essential knowledge on characteristics of this lesion would contribute to a proper diagnosis and benefit treatment planning.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036348PMC
http://dx.doi.org/10.30476/DENTJODS.2019.44910DOI Listing

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Purpose: Melanotic neuroectodermal tumor of infancy (MNTI) is a rare, rapidly growing pigmented neoplasm originating from the neural crest. Predominantly affecting infants, it commonly occurs in the head and neck region. MNTI is often locally aggressive with a high recurrence rate.

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Melanotic neuroectodermal tumor of infancy (MNTI) is a rare distinctive neoplasm of infants with rapid expansile growth and a high rate of recurrence. Most commonly, the lesion affects the maxilla followed by the skull and orbit. One such case was diagnosed in a 5-month-old boy who presented with rapidly enlarged swelling over the back of the skull.

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Article Synopsis
  • * A case study of a 10-week-old boy presented an aggressively growing tumor, leading to a carefully planned surgical resection involving innovative techniques such as a piezoelectric saw to ensure precise removal without damaging surrounding structures.
  • * The complete excision of the tumor was successful with negative margins, emphasizing that thorough removal is crucial to prevent recurrence, and demonstrating the advantages of advanced surgical tools for better patient outcomes.
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