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The pathology of extracranial scalp and skull masses in young children.
Clin Neuropathol. 2004 Jan-Feb; 23(1):34-43.CN

Abstract

OBJECTIVE

Extracranial subcutaneous masses involving the scalp and/or skull in young children are uncommon lesions that get excised by the neurosurgeon. Although the most common reported lesion is the dermoid cyst, our experience suggests that the spectrum of pathology in these lesions can present diagnostic challenges to the pathologist.

MATERIAL

We reviewed 30 consecutive extracranial masses from 29 patients between July 1998 and June 2003.

METHOD

Hematoxylin and eosin-stained sections were reviewed in all cases, and immunohistochemistry was performed in select cases.

RESULTS

Twenty-three were within the scalp, 5 involved the scalp and skull and 2 were within the limits of the inner and outer tables of the skull. There were 8 dermoid cysts, 2 epidermoid cysts, 6 post-traumatic lesions including 3 calcified cephalhematomas and 3 pseudocysts, 5 vascular lesions including 3 capillary hemangiomas, 1 venous angioma and 1 lymphangioma, 2 cases of cranial fasciitis and 1 case each of benign teratoma, deep granuloma annulare, benign fibrous histiocytoma, congenital melanocytic nevus, hamartoma with ectopic meningothelial elements, cutaneous hyalinised ectopic meningioma and a meningocele with a fibrohistiocytic reaction. No lesions have recurred or exhibited malignant features.

CONCLUSIONS

Surgical pathologists and neuropathologists should be aware that the differential diagnosis of "lumps and bumps on babie's heads" is quite varied and can be histologically challenging.

Authors+Show Affiliations

Cummings TJ
Department of Pathology, Duke University Medical Center, Durham, NC 27710, USA. cummi008@mc.duke.edu
George TM
No affiliation info available
Fuchs HE
No affiliation info available
McLendon RE
No affiliation info available

MeSH

Child, PreschoolCraniocerebral TraumaDiagnosis, DifferentialFemaleHamartomaHead and Neck NeoplasmsHumansInfantInfant, NewbornMaleRetrospective StudiesScalpSkin NeoplasmsSkullSkull Neoplasms

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14986932

Citation

Cummings, T J., et al. "The Pathology of Extracranial Scalp and Skull Masses in Young Children." Clinical Neuropathology, vol. 23, no. 1, 2004, pp. 34-43.
Cummings TJ, George TM, Fuchs HE, et al. The pathology of extracranial scalp and skull masses in young children. Clin Neuropathol. 2004;23(1):34-43.
Cummings, T. J., George, T. M., Fuchs, H. E., & McLendon, R. E. (2004). The pathology of extracranial scalp and skull masses in young children. Clinical Neuropathology, 23(1), 34-43.
Cummings TJ, et al. The Pathology of Extracranial Scalp and Skull Masses in Young Children. Clin Neuropathol. 2004 Jan-Feb;23(1):34-43. PubMed PMID: 14986932.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The pathology of extracranial scalp and skull masses in young children. AU - Cummings,T J, AU - George,T M, AU - Fuchs,H E, AU - McLendon,R E, PY - 2004/2/28/pubmed PY - 2004/4/16/medline PY - 2004/2/28/entrez SP - 34 EP - 43 JF - Clinical neuropathology JO - Clin Neuropathol VL - 23 IS - 1 N2 - OBJECTIVE: Extracranial subcutaneous masses involving the scalp and/or skull in young children are uncommon lesions that get excised by the neurosurgeon. Although the most common reported lesion is the dermoid cyst, our experience suggests that the spectrum of pathology in these lesions can present diagnostic challenges to the pathologist. MATERIAL: We reviewed 30 consecutive extracranial masses from 29 patients between July 1998 and June 2003. METHOD: Hematoxylin and eosin-stained sections were reviewed in all cases, and immunohistochemistry was performed in select cases. RESULTS: Twenty-three were within the scalp, 5 involved the scalp and skull and 2 were within the limits of the inner and outer tables of the skull. There were 8 dermoid cysts, 2 epidermoid cysts, 6 post-traumatic lesions including 3 calcified cephalhematomas and 3 pseudocysts, 5 vascular lesions including 3 capillary hemangiomas, 1 venous angioma and 1 lymphangioma, 2 cases of cranial fasciitis and 1 case each of benign teratoma, deep granuloma annulare, benign fibrous histiocytoma, congenital melanocytic nevus, hamartoma with ectopic meningothelial elements, cutaneous hyalinised ectopic meningioma and a meningocele with a fibrohistiocytic reaction. No lesions have recurred or exhibited malignant features. CONCLUSIONS: Surgical pathologists and neuropathologists should be aware that the differential diagnosis of "lumps and bumps on babie's heads" is quite varied and can be histologically challenging. SN - 0722-5091 UR - https://www.unboundmedicine.com/medline/citation/14986932/The_pathology_of_extracranial_scalp_and_skull_masses_in_young_children_ L2 - https://medlineplus.gov/skincancer.html DB - PRIME DP - Unbound Medicine ER -