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June 1996


Arch Otolaryngol Head Neck Surg. 1996;122(6):680-683. doi:10.1001/archotol.1996.01890180086019

Pathologic Quiz Case 1  Steven M. Houser, MD; Diana N. Traquina, MD; Cleveland, OhioA 6-YEAR-OLD white boy presented with a congenital midline skin lesion located just superior to the suprasternal notch. His family denied any history of trauma or infection. Reportedly, the lesion had grown in proportion with his body, and tended to weep a minimal amount of yellow-amber fluid, which was cleansed daily with hydrogen peroxide. The patient had no other medical complaints; specifically, he denied any symptoms of dyspnea, dysphagia, pneumonia, or hemoptysis.Physical examination revealed a healthy 6-year-old with a midline anterior neck lesion approximately 2 cm superior to the manubrium (Figure 1 and Figure 2). The lesion measured 1.5 cm horizontally and 1 cm vertically. The oblong base was pink and greatly resembled fibrous scar tissue. There were two small, soft, flesh-colored pedunculated papules on the lesion's base, as well as a sinus tract more

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