Melanotic neuroectodermal tumor of infancy is a rare neoplasm of neural cre
st origin. lt almost always occurs in children younger than one year of age
with a predilection for the anterior maxillary ridge. Although it usually
follows a benign course, local destruction as well as metastasis and death
may result from the tumor. Melanotic neuroectodermal tumor is most commonly
treated by surgery. 10-15% of the lesions recur. We report the case of a 2
-month-old infant suffering from melanotic neuroectodermal tumor of infancy
of the premaxilla who was successfully treated with a combination of vario
us chemotherapeutic agents in order to spare the child a mutilating operati
on or the late effects of radiation.
Discussion: Chemotherapeutic management of melanotic neuroectodermal tumor
of infancy can possibly spare the child a mutilating operation or at least
reduce its extent.