Neonate with Hanging Facial Mass

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).

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 …