Malignant Peripheral Nerve Sheath Tumor in the Nasal Cavity of a Neonate: A Case Report

Abstract

Malignant peripheral nerve sheath tumor (MPNST) is a rare tumor that can develop on the lining of nerves and within the network of nerve fibers in different organs, and it is commonly found in the head and neck, limbs, and trunk. These tumors can occur in patients of any age. They most commonly occur in adults aged 20 to 50 years; however, fewer cases of this tumor in children have been reported. To date, no neonatal case of MPNST in the nasal cavity has been reported. Here, we report the case of a 4-day-old female newborn who presented with a nasal mass that re-enlarged after surgery and was diagnosed as MPNST of the nasal cavity on the basis of pathological results. This is the first report of MPNST in the nasal cavity of a neonate. Differential diagnosis and treatment of nasal masses have been proposed in the related literature.

Neurofibromatosis Type 1-Associated Malignant Peripheral Nerve Sheath Tumor in the Nasal Cavity

“…Differential diagnosis includes soft tissue tumors such as fibrosarcoma, synovial sarcoma, leiomyosarcoma, and melanoma [8]. When evaluating nasal masses, the differential diagnosis includes lymphoma, melanoma, nasopharyngeal carcinoma, juvenile angiofibroma, polyps, dermoid cyst, glioma, and encephalocele [9]. MPNSTs have the highest local recurrence rates among sarcomas, ranging from 40-65%.…”