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The Case
A full-term male newborn was evaluated 1 day after birth for a preauricular skin tag and a 1.5×1.5–cm mass with a long thin pedicle, with its base at the right cheek (Fig).
Neonate with facial mass.
Prenatal and Birth Histories
Born to a 25-year-old, gravida 3, para 2 woman at 40 weeks of gestation.
Maternal history of hypothyroidism treated with oral thyroxine (50 μg).
Two older siblings are healthy; no history of similar lesions in the family.
Pregnancy complicated by vaginal bleeding at 29 weeks of gestation, 2 doses of dexamethasone administered in view of preterm labor.
Ultrasonography performed at 33 weeks of gestation was normal and fetal growth scans were normal.
Estimated gestational age: 40 weeks.
Emergency cesarean section for fetal distress and nonprogression of labor.
Prenatal maternal laboratory findings: Hepatitis B surface antigen negative, group B Streptococcus not known, Rh-negative (received anti-D immunoglobulin).
Apgar scores: 9 and 9 at 1 and 5 minutes, respectively. Infant cried immediately after birth and routine neonatal resuscitation was performed.
Presentation
At birth, the infant was noted to have a small mass …
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