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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Infant. Firm Mass Under The Skin On Back. Ordered Ultrasound. Thoughts?

My granddaughter is 1 week old and doing very well. My daughter noticed a firm mass under her skin around her mid back in the center seemingly on the spine. It is the size of a large grape and hard like bone. She took her to pediatrician today who wasn't sure what it might be and ordered an ultrasound for tomorrow ... Any thought?
Mon, 22 Apr 2013
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Pediatrician,  's  Response
Hi,

Thank you for your query.

A number of causes come to mind. A definite reason can only be given after a clinical examination. Some of the diagnosis can be:
1. Dermoid cyst (may be bony hard)
2. Lipoma (usually not hard)
3. Bony growth
4. Meningomyelocele (not hard)
The size, exact location, mobility, fixation with deeper structures, etc. will guide in a clinical diagnosis. Otherwise we shall have to wait for the ultrasound report.

I hope I have answered your query to your satisfaction.

Wishing your granddaughter an early recovery.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl
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Infant. Firm Mass Under The Skin On Back. Ordered Ultrasound. Thoughts?

Hi, Thank you for your query. A number of causes come to mind. A definite reason can only be given after a clinical examination. Some of the diagnosis can be: 1. Dermoid cyst (may be bony hard) 2. Lipoma (usually not hard) 3. Bony growth 4. Meningomyelocele (not hard) The size, exact location, mobility, fixation with deeper structures, etc. will guide in a clinical diagnosis. Otherwise we shall have to wait for the ultrasound report. I hope I have answered your query to your satisfaction. Wishing your granddaughter an early recovery. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl