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March 2010

Rapidly Growing Gingival Mass in an Infant—Quiz Case

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Arch Dermatol. 2010;146(3):337-342. doi:10.1001/archdermatol.2010.9-a

A 7-month-old boy was referred to our hospital for evaluation of a gingival mass with occasional bleeding that had progressively enlarged over the previous 3 months. He had no relevant personal or family medical history and no abnormalities reported at birth. Although his mother reported breastfeeding difficulties, his growth and development were adequate for his age.

Physical examination revealed an indurated swelling with blue-black discoloration of the gingiva and maxilla extending to the left internal cheek (Figure 1). Radiographic studies revealed an extensive soft-tissue tumor measuring 4.3 × 2.5 × 2.5 cmwith osteolytic destruction of the superior maxilla in its left lateral portion.

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