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Special Feature
October 2007

Picture of the Month—Quiz Case

Author Affiliations
 

SAMIR S.SHAHMDALBERT C.YANMD

Arch Pediatr Adolesc Med. 2007;161(10):1001. doi:10.1001/archpedi.161.10.1001-a

A 10-week-old infant girl was referred to our hospital with a rapidly growing lesion involving the right orbit. The infant was twin B of nonidentical twins and born prematurely at 29 weeks' gestation. The lesion had been present at birth as a flat purplish mark and had started to increase in size from the age of 10 days. On examination, a large, soft periocular mass was observed and had been completely occluding the right eye from the age of 5 weeks (Figure 1 and Figure 2). The baby was otherwise well. A complete blood cell count and results of coagulation tests and a basic chemistry panel were all normal. Following further diagnostic investigations and therapeutic interventions, the infant required surgical treatment at the age of 17 weeks (Figure 3 and Figure 4).

Figure 1.
Large periocular tumor causing complete occlusion of the right eye.

Large periocular tumor causing complete occlusion of the right eye.

Figure 2.
Presentation of the tumor in profile.

Presentation of the tumor in profile.

Figure 3.
Excision of the major bulk of the tumor, measuring 4.5 × 3 × 2 cm.

Excision of the major bulk of the tumor, measuring 4.5 × 3 × 2 cm.

Figure 4.
Presentation at 10 weeks postsurgery.

Presentation at 10 weeks postsurgery.

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