ABSTRACT
Vulvar masses in children are an unusual finding but their differential diagnosis is extensive. In case of solid masses, rhabdomyosarcoma (RMS) must always be considered due to the fact that it is the most common tumor in external genitals during childhood. However, RMS has a radiological appearance very similar to juvenile xanthogranuloma (JXG). We present a 16-month-old girl with a 2 cm solid mass on her left labia majora, with four overlying cutaneous papules. After imaging tests, an excisional biopsy was programmed due to high malignancy suspicion. Histopathology of the mass and one of the papules was diagnostic for JXG. After a 12-month follow-up, the patient shows no signs of relapse or complication. Deep JXG is an uncommon entity in childhood and exceptional in the genital area. Therefore, it must be included in the differential diagnosis of a solid vulvar mass, especially if accompanying yellowish xanthomatous cutaneous lesions are present.
ABSTRACT
Los rinolitos son masas nasales mineralizadas poco frecuentesque se producen como resultado de la calcificaciónde un cuerpo endógeno o exógeno en el interior de lafosa nasal. Presentamos un casos de rinolitiasis exponiendosu etiología, manifestaciones clínicas, hallazgosde la tomografía computerizada, así como su diagnosticodiferencial. Su tratamiento de elección es la extracciónquirúrgica. Hacemos hincapié en la rareza de esta enfermedad,así como en la importancia de los estudiosradiológicos en el diagnóstico de esta entidad tan olvidada
Rhinoliths are uncommon nasal mineralized massesresulting from calcification of an endogenous orexogenous nidus within the nasal cavity. The etiology,clinical presentation, CT findings and differential diagnosisin one cases of rhinolith are presented in thisreport. The treatment of choice is surgical removal. Weunderline the rarity of this patology an the importantrole of radiological studies in the diagnosis of such aforgotten entity