A female patient presented at birth with a painless bulky mass located on the vertex. She was a term baby with a normal antenatal history. The child was otherwise healthy. Physical examination showed a single, well-defined purplish-red tumoral lesion with arborizing telangiectasias over the surface (Fig. 1). It was located on the parieto-occipital region, 5x3 cm in size and was firm on palpation, with no apparent underlaying bony defect. Radiologic investigations, including transfontanellar cranial ultrasonography and cranial magnetic resonance imaging, revealed no malformations of the central nervous system and demonstrated a minimally enhancing subcutaneous soft-tissue mass with a focal destructive remodeling of the outer table (Fig. 2). Abdominal ultrasonography showed no abnormalities.
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