In conclusion, the "fibrous umbilical polyp" is a distinctive lesion of early childhood with an uncertain pathogenesis. These lesions are diagnostically challenging because of morphologic and immunohistochemical overlap, despite significant clinical, genetic, and prognostic differences. Clinically UP presents as a small round swelling, with red, smooth surface and shiny appearance because it is mucosa, covered with serosity and located at the base of the umbilicus. Surgical excision of UP is mandatory with or without abdominal exploration to detect any other associated anomalies. Therefore, making an accurate diagnosis is important, as it influences treatment. Filling defects were diagnosed preoperatively in 22% of the patients in this series. There was 2:1 male predominance. The aim of this study was to evaluate the need for peritoneal cavity exploration in children with umbilical polyp. The fibromatoses are a major subgroup, and all types of fibromatoses can occur in the 1st 2 decades of life. It shows a marked predilection for boys, is not rare, and appears to represent a clinicopathologic entity. Recognition of this cellular variant of proliferative fasciitis and myositis is important to prevent misdiagnosis as a sarcoma and unnecessary, excessive therapy. Immunostaining showed focal staining for muscle-specific actin and desmin in a subset of cases and no staining for cytokeratin, epithelial membrane antigen, CD34, or S-100. Fibroepithelial polyps are rare lesions that cause ureteropelvic junction obstruction in children, primarily in males and on the left side. In conclusion, the "fibrous umbilical polyp" is a distinctive lesion of early childhood with an uncertain pathogenesis. Vascularity was sparse and the lesions were nonencapsulated. Herein, we report the case of a 5-month-old boy diagnosed with nodular fasciitis in the setting of nonaccidental trauma. The size of the lesions averaged 2.5 cm in greatest dimension with the largest being 9.0 cm. We report three patients, ages 5 years, 3 years, and 4 days, with umbilical polyps. 5. They are commonly found along the paravertebral sympathetic ganglia and sometimes in the adrenal medulla. Eight lesions averaging 2.3 cm in size occurred in the extremities, two in the head and neck region and one on the chest wall. The authors have encountered four examples of a distinctive reactive/reparative cutaneous spindle cell lesion that shows homology with ones seen in the genitourinary tract and oral cavity and that is known as "postoperative/posttraumatic spindle cell nodule" (PSCN). Allows the reader to apply their knowledge to real-life situations and assess their level of expertise by the use of a case-based Q&A format Pediatric fasciitides are rare benign lesions that may clinically mimic a malignant sarcoma. 1. Clinical and pathologic findings were reviewed in all patients under age 19 with lesions resected from the umbilical region at Children's Hospital (Boston, MA, USA) during an 8-year period. Median diameter of the lesions was 0.5 cm (0.2 - 1). To review the current information on medical complications, psychological implications, and legislative issues related to body piercing, a largely unregulated industry in the United States. Fibroblastic cells were plump to elongate with abundant pale pink cytoplasm. Immunohistochemical workup revealed a fibroblastic origin and hence the case was diagnosed as fibromatosis with ganglion cell like fibroblasts. Indian J Dermatol. An umbilical polyp can be present in the absence of other OMD anomalies. This site needs JavaScript to work properly. In adults, metastases from intra-abdominal tumors need to be excluded. Eleven cases of proliferative fasciitis and myositis in children, ages 2.5 months to 13 years, are presented. Umbilical hernias, abdominal wall defects, umbilical polyps and drainage, and omphalomesenteric remnants are well described. Cell markers showed normal numbers and distribution of peripheral T and B lymphocytes but there was no reaction to intradermal injection of Candida, suggesting a specific T-cell defect such as occurs in chronic mucocutaneous candidiasis. Thirteen (93%) patients were boys. Vascularity was sparse and the lesions were nonencapsulated. [A case of umbilical polyp with aberrant pancreas and small intestinal mucosa--analysis of cases of umbilical polyp reported in Japan]. A case is reported of a 14-year-old boy with a mass arising from the umbilicus, which was a large, well-organized candidal granuloma. Recurrence was not observed. Excision and dismembered pyeloplasty were curative, and recurrences were not observed. Pathologic examination is enhanced by adjunct techniques, such as immunohistochemistry, cytogenetics, and molecular genetics, although morphology provides the ultimate criteria for a specific diagnosis. They tend to invade the surrounding tissue more or less aggressively. Impact of umbilical polyp resection: A report and literature review. No recurrences were seen during a mean followup of 44 months. Gross examination of specimen excised from the dermis showed a well-circumscribed nodule histologically composed of spindle cells with interspersed ganglion cell like cells.

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