Udaipur – A team of doctors at Pacific Medical College & Hospital (PMCH), Udaipur, successfully performed a complex and rare surgery on a 42-day-old infant diagnosed with Melanotic Neuroectodermal Tumor of Infancy (MNTI) – an extremely rare and fast-growing congenital tumor.
The surgery was led by Pediatric and Neonatal Surgeon Dr. Praveen Jhanwar, Onco-surgeon Dr. Saurabh Sharma, and a dedicated anesthesiology team including Dr. Prakash Audichya, Dr. Krishan Gopal, Dr. Swati, Dr. Ajay, along with support from Vishnu, Vivek, Manish, and Kalpesh.
The infant, a resident of Piladar near Jaisamand, developed a lump in the mouth just 15 days after birth. Within a day, the swelling grew rapidly and began to decay despite medication. Local doctors suggested treatment in Ahmedabad. However, a village acquaintance recommended seeking help at PMCH, Bedla.
Upon examination at PMCH, Dr. Jhanwar identified the rare Melanotic Neuroectodermal Tumor, which was operable. Dr. Jhanwar noted that only around 600 such cases have been reported globally, and this child is the youngest known patient to undergo successful surgery for MNTI at PMCH.
The tumor, which originates from neural crest cells in infants under six months, commonly affects the upper jaw or facial bones and may appear black or bluish in color. Its rapid growth can obstruct breathing and feeding. If untreated, it can damage nearby tissues and become life-threatening.
Thanks to timely diagnosis and surgical precision, the infant is now recovering well and feeding normally.
The infant’s family expressed deep gratitude to PMCH Chairman Rahul Agrawal, Executive Director Aman Agrawal, the doctors, management, nursing staff, and the entire hospital team, stating that this successful surgery felt nothing short of a miracle.