Biopsy‐Proven Spontaneous Regression of a Rhabdomyomatous Mesenchymal Hamartoma
Rhabdomyomatous mesenchymal hamartoma (RMH) is a rare, benign, congenital tumor of the dermis and subcutaneous tissue comprised of skeletal muscle and adipose and adnexal elements. Although the majority of cases are an incidental finding in otherwise healthy patients, some have been reported in asso...
Gespeichert in:
Veröffentlicht in: | Pediatric dermatology 2015-03, Vol.32 (2), p.256-262 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 262 |
---|---|
container_issue | 2 |
container_start_page | 256 |
container_title | Pediatric dermatology |
container_volume | 32 |
creator | Mazza, Joni M. Linnell, Erica Votava, Henry J. Wisoff, Jeffrey H. Silverberg, Nanette B. |
description | Rhabdomyomatous mesenchymal hamartoma (RMH) is a rare, benign, congenital tumor of the dermis and subcutaneous tissue comprised of skeletal muscle and adipose and adnexal elements. Although the majority of cases are an incidental finding in otherwise healthy patients, some have been reported in association with other anomalies. We present a full‐term boy evaluated on day 2 of life for two lesions located on the midline of the lower back and right buttock that each appeared clinically as an atrophic, pink plaque. Ultrasound of the midline lesion revealed an underlying lipomyelomeningocele with a tethered cord in the spinal canal. Histopathology of the right buttock cutaneous lesion was consistent with a diagnosis of RMH. Surgical excision was performed on the midline intradural lipoma and the lesion on the buttock was monitored clinically. Repeat biopsy of this site at 1 year of age revealed complete spontaneous regression. This case highlights three interesting features: the association with an occult spinal dysraphism lipomyelomeningocele and tethered cord, the clinical presentation of an atrophic plaque as opposed to the more commonly reported raised lesions, and the phenomenon of spontaneous regression of the lesion. Most importantly, this final feature of regression in our patient suggests that, in the absence of symptoms, clinical observation of RMH lesions is warranted for spontaneous regression for 1 to 2 years provided that no functional deficit is noted and that the cutaneous or deeper lesions are not causing a medical problem. |
doi_str_mv | 10.1111/pde.12331 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1666723620</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1666723620</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3951-79b3019d26a09a7269a79202e422786a5d4a3c6b7ef871717652f45b7af1179d3</originalsourceid><addsrcrecordid>eNp1kM1Og0AUhSdGY2t14QsYlrqgnR-YgaXWak1qrFXXkwEuFgMMMqBh5yP4jD6JU6nuvDe5Z3G-nNwchI4JHhM7kyqBMaGMkR00JD71XeIJvIuGWDDuBtjjA3RgzAvGOOCc7KMB9axSJobo_iLTlem-Pj6XtX6D0nmodNmoEnRrnBU812BMpktHp45yVmsVJbrodKGajX8LBsp43RUqd-aqUHVjnUO0l6rcwNFWR-jpavY4nbuLu-ub6fnCjVnoE1eEEcMkTChXOFSCcntCiil4lIqAKz_xFIt5JCANBLHLfZp6fiRUSogIEzZCp31uVevXFkwji8zEkOf985JwzgVlnGKLnvVoXGtjakhlVWf23U4SLDcNStug_GnQsifb2DYqIPkjfyuzwKQH3rMcuv-T5PJy1kd-AxTdepY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1666723620</pqid></control><display><type>article</type><title>Biopsy‐Proven Spontaneous Regression of a Rhabdomyomatous Mesenchymal Hamartoma</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Mazza, Joni M. ; Linnell, Erica ; Votava, Henry J. ; Wisoff, Jeffrey H. ; Silverberg, Nanette B.</creator><creatorcontrib>Mazza, Joni M. ; Linnell, Erica ; Votava, Henry J. ; Wisoff, Jeffrey H. ; Silverberg, Nanette B.</creatorcontrib><description>Rhabdomyomatous mesenchymal hamartoma (RMH) is a rare, benign, congenital tumor of the dermis and subcutaneous tissue comprised of skeletal muscle and adipose and adnexal elements. Although the majority of cases are an incidental finding in otherwise healthy patients, some have been reported in association with other anomalies. We present a full‐term boy evaluated on day 2 of life for two lesions located on the midline of the lower back and right buttock that each appeared clinically as an atrophic, pink plaque. Ultrasound of the midline lesion revealed an underlying lipomyelomeningocele with a tethered cord in the spinal canal. Histopathology of the right buttock cutaneous lesion was consistent with a diagnosis of RMH. Surgical excision was performed on the midline intradural lipoma and the lesion on the buttock was monitored clinically. Repeat biopsy of this site at 1 year of age revealed complete spontaneous regression. This case highlights three interesting features: the association with an occult spinal dysraphism lipomyelomeningocele and tethered cord, the clinical presentation of an atrophic plaque as opposed to the more commonly reported raised lesions, and the phenomenon of spontaneous regression of the lesion. Most importantly, this final feature of regression in our patient suggests that, in the absence of symptoms, clinical observation of RMH lesions is warranted for spontaneous regression for 1 to 2 years provided that no functional deficit is noted and that the cutaneous or deeper lesions are not causing a medical problem.</description><identifier>ISSN: 0736-8046</identifier><identifier>EISSN: 1525-1470</identifier><identifier>DOI: 10.1111/pde.12331</identifier><identifier>PMID: 24661237</identifier><language>eng</language><publisher>United States</publisher><subject>Biopsy, Needle ; Hamartoma - congenital ; Hamartoma - pathology ; Hamartoma - physiopathology ; Humans ; Immunohistochemistry ; Infant, Newborn ; Male ; Monitoring, Physiologic - methods ; Rare Diseases ; Remission, Spontaneous ; Skin Diseases - congenital ; Skin Diseases - pathology ; Skin Diseases - physiopathology</subject><ispartof>Pediatric dermatology, 2015-03, Vol.32 (2), p.256-262</ispartof><rights>2014 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3951-79b3019d26a09a7269a79202e422786a5d4a3c6b7ef871717652f45b7af1179d3</citedby><cites>FETCH-LOGICAL-c3951-79b3019d26a09a7269a79202e422786a5d4a3c6b7ef871717652f45b7af1179d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpde.12331$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpde.12331$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24661237$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mazza, Joni M.</creatorcontrib><creatorcontrib>Linnell, Erica</creatorcontrib><creatorcontrib>Votava, Henry J.</creatorcontrib><creatorcontrib>Wisoff, Jeffrey H.</creatorcontrib><creatorcontrib>Silverberg, Nanette B.</creatorcontrib><title>Biopsy‐Proven Spontaneous Regression of a Rhabdomyomatous Mesenchymal Hamartoma</title><title>Pediatric dermatology</title><addtitle>Pediatr Dermatol</addtitle><description>Rhabdomyomatous mesenchymal hamartoma (RMH) is a rare, benign, congenital tumor of the dermis and subcutaneous tissue comprised of skeletal muscle and adipose and adnexal elements. Although the majority of cases are an incidental finding in otherwise healthy patients, some have been reported in association with other anomalies. We present a full‐term boy evaluated on day 2 of life for two lesions located on the midline of the lower back and right buttock that each appeared clinically as an atrophic, pink plaque. Ultrasound of the midline lesion revealed an underlying lipomyelomeningocele with a tethered cord in the spinal canal. Histopathology of the right buttock cutaneous lesion was consistent with a diagnosis of RMH. Surgical excision was performed on the midline intradural lipoma and the lesion on the buttock was monitored clinically. Repeat biopsy of this site at 1 year of age revealed complete spontaneous regression. This case highlights three interesting features: the association with an occult spinal dysraphism lipomyelomeningocele and tethered cord, the clinical presentation of an atrophic plaque as opposed to the more commonly reported raised lesions, and the phenomenon of spontaneous regression of the lesion. Most importantly, this final feature of regression in our patient suggests that, in the absence of symptoms, clinical observation of RMH lesions is warranted for spontaneous regression for 1 to 2 years provided that no functional deficit is noted and that the cutaneous or deeper lesions are not causing a medical problem.</description><subject>Biopsy, Needle</subject><subject>Hamartoma - congenital</subject><subject>Hamartoma - pathology</subject><subject>Hamartoma - physiopathology</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Monitoring, Physiologic - methods</subject><subject>Rare Diseases</subject><subject>Remission, Spontaneous</subject><subject>Skin Diseases - congenital</subject><subject>Skin Diseases - pathology</subject><subject>Skin Diseases - physiopathology</subject><issn>0736-8046</issn><issn>1525-1470</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1Og0AUhSdGY2t14QsYlrqgnR-YgaXWak1qrFXXkwEuFgMMMqBh5yP4jD6JU6nuvDe5Z3G-nNwchI4JHhM7kyqBMaGMkR00JD71XeIJvIuGWDDuBtjjA3RgzAvGOOCc7KMB9axSJobo_iLTlem-Pj6XtX6D0nmodNmoEnRrnBU812BMpktHp45yVmsVJbrodKGajX8LBsp43RUqd-aqUHVjnUO0l6rcwNFWR-jpavY4nbuLu-ub6fnCjVnoE1eEEcMkTChXOFSCcntCiil4lIqAKz_xFIt5JCANBLHLfZp6fiRUSogIEzZCp31uVevXFkwji8zEkOf985JwzgVlnGKLnvVoXGtjakhlVWf23U4SLDcNStug_GnQsifb2DYqIPkjfyuzwKQH3rMcuv-T5PJy1kd-AxTdepY</recordid><startdate>201503</startdate><enddate>201503</enddate><creator>Mazza, Joni M.</creator><creator>Linnell, Erica</creator><creator>Votava, Henry J.</creator><creator>Wisoff, Jeffrey H.</creator><creator>Silverberg, Nanette B.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201503</creationdate><title>Biopsy‐Proven Spontaneous Regression of a Rhabdomyomatous Mesenchymal Hamartoma</title><author>Mazza, Joni M. ; Linnell, Erica ; Votava, Henry J. ; Wisoff, Jeffrey H. ; Silverberg, Nanette B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3951-79b3019d26a09a7269a79202e422786a5d4a3c6b7ef871717652f45b7af1179d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Biopsy, Needle</topic><topic>Hamartoma - congenital</topic><topic>Hamartoma - pathology</topic><topic>Hamartoma - physiopathology</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Monitoring, Physiologic - methods</topic><topic>Rare Diseases</topic><topic>Remission, Spontaneous</topic><topic>Skin Diseases - congenital</topic><topic>Skin Diseases - pathology</topic><topic>Skin Diseases - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mazza, Joni M.</creatorcontrib><creatorcontrib>Linnell, Erica</creatorcontrib><creatorcontrib>Votava, Henry J.</creatorcontrib><creatorcontrib>Wisoff, Jeffrey H.</creatorcontrib><creatorcontrib>Silverberg, Nanette B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mazza, Joni M.</au><au>Linnell, Erica</au><au>Votava, Henry J.</au><au>Wisoff, Jeffrey H.</au><au>Silverberg, Nanette B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biopsy‐Proven Spontaneous Regression of a Rhabdomyomatous Mesenchymal Hamartoma</atitle><jtitle>Pediatric dermatology</jtitle><addtitle>Pediatr Dermatol</addtitle><date>2015-03</date><risdate>2015</risdate><volume>32</volume><issue>2</issue><spage>256</spage><epage>262</epage><pages>256-262</pages><issn>0736-8046</issn><eissn>1525-1470</eissn><abstract>Rhabdomyomatous mesenchymal hamartoma (RMH) is a rare, benign, congenital tumor of the dermis and subcutaneous tissue comprised of skeletal muscle and adipose and adnexal elements. Although the majority of cases are an incidental finding in otherwise healthy patients, some have been reported in association with other anomalies. We present a full‐term boy evaluated on day 2 of life for two lesions located on the midline of the lower back and right buttock that each appeared clinically as an atrophic, pink plaque. Ultrasound of the midline lesion revealed an underlying lipomyelomeningocele with a tethered cord in the spinal canal. Histopathology of the right buttock cutaneous lesion was consistent with a diagnosis of RMH. Surgical excision was performed on the midline intradural lipoma and the lesion on the buttock was monitored clinically. Repeat biopsy of this site at 1 year of age revealed complete spontaneous regression. This case highlights three interesting features: the association with an occult spinal dysraphism lipomyelomeningocele and tethered cord, the clinical presentation of an atrophic plaque as opposed to the more commonly reported raised lesions, and the phenomenon of spontaneous regression of the lesion. Most importantly, this final feature of regression in our patient suggests that, in the absence of symptoms, clinical observation of RMH lesions is warranted for spontaneous regression for 1 to 2 years provided that no functional deficit is noted and that the cutaneous or deeper lesions are not causing a medical problem.</abstract><cop>United States</cop><pmid>24661237</pmid><doi>10.1111/pde.12331</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0736-8046 |
ispartof | Pediatric dermatology, 2015-03, Vol.32 (2), p.256-262 |
issn | 0736-8046 1525-1470 |
language | eng |
recordid | cdi_proquest_miscellaneous_1666723620 |
source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Biopsy, Needle Hamartoma - congenital Hamartoma - pathology Hamartoma - physiopathology Humans Immunohistochemistry Infant, Newborn Male Monitoring, Physiologic - methods Rare Diseases Remission, Spontaneous Skin Diseases - congenital Skin Diseases - pathology Skin Diseases - physiopathology |
title | Biopsy‐Proven Spontaneous Regression of a Rhabdomyomatous Mesenchymal Hamartoma |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T16%3A10%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Biopsy%E2%80%90Proven%20Spontaneous%20Regression%20of%20a%20Rhabdomyomatous%20Mesenchymal%20Hamartoma&rft.jtitle=Pediatric%20dermatology&rft.au=Mazza,%20Joni%20M.&rft.date=2015-03&rft.volume=32&rft.issue=2&rft.spage=256&rft.epage=262&rft.pages=256-262&rft.issn=0736-8046&rft.eissn=1525-1470&rft_id=info:doi/10.1111/pde.12331&rft_dat=%3Cproquest_cross%3E1666723620%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1666723620&rft_id=info:pmid/24661237&rfr_iscdi=true |