Congenital teratoma of the neck: A case report and literature review

Sellami, M.; Mnejja, Malek; Ayadi, Lobna; Charfeddine, Ilhem; Boudawara, Tahia; Hammami, B.; Ghorbel, Abdelmonem

doi:10.1016/j.ejenta.2014.10.004

Cited by 10 publications

(21 citation statements)

References 13 publications

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“…The finding of respiratory dyspnea in our case "is" probably related to compression of respiratory tracts at the cervical level. This finding is shared by the authors [1] [3]. This respiratory dyspnea is life-threatening for the patient and the severity of head and neck teratomas.…”

Section: Discussionsupporting

confidence: 54%

“…When it is bulky, it is responsible for the obstruction of respiratory tracts, found in 80% to 100% of cases [1]. It often follows a per partum mortality after delivery due to this obstruction [1]. The finding of respiratory dyspnea in our case "is" probably related to compression of respiratory tracts at the cervical level.…”

Section: Discussionmentioning

confidence: 53%

“…The etiology of teratoma is not well understood [1]. The multifactorial etiology is composite of the chromosomal abnormalities and the abnormalities of embryonic development [1]. The chromosomal abnormalities are constituted of the trisomy 13, ring X-chromosome, gonosomal pentasomy 49, and gene mutations.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical spectrum is a function of size and seat of this mass [5]. When it is bulky, it is responsible for the obstruction of respiratory tracts, found in 80% to 100% of cases [1]. It often follows a per partum mortality after delivery due to this obstruction [1].…”

Section: Discussionmentioning

confidence: 99%

“…Teratoma derives from the Greek word teratos meaning show [1]. Teratomas are malformed tumors derived from the transformation of multipotent germ cells.…”

Section: Introductionmentioning

confidence: 99%

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Congenital Cervical Teratoma

Koné¹,

Hajjij²,

Cissé³

et al. 2019

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Introduction: The word "Teratoma" derives from the Greek word "teratos" including the meaning show. Teratoid tumors derived from the transformation of multipotent germ cells. They are composed of ectodermal, endodermic and mesodermal tissues in variable proportions; hence the term "embryonic tumor". Objectives: We are reporting the case of a mature teratoma discovered in a young child whose delivery was vaginally performed. Through this case we put in diagnostic and therapeutic highlight and we made a literature review. Case report: Patient 17 months admitted for the anterior compartment mass associated with inspiratory dyspnea. No anomaly/abnormality was detected during the follow-up of the pregnancy. The Patient with dyspnea grade 2 was admitted according to Chevaleir-Jackson classification. No abnormalities of stature ponderal developments were noted. Surgery of excision was our therapeutic alternative. Through the pathological examination a mature teratoma was found. Conclusion: Teratoma is a rare condition. Proper management of mature teratoma helps to prevent recurrence.

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Teratoma derives from the Greek word teratos meaning show [1]. Teratomas are malformed tumors derived from the transformation of multipotent germ cells.…”

Section: Introductionmentioning

confidence: 99%

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Congenital Cervical Teratoma

Koné¹,

Hajjij²,

Cissé³

et al. 2019

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Surgical Management and Outcomes of Pediatric Congenital Head and Neck Teratomas: A Scoping Review

et al. 2023

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ObjectiveTo perform a scoping review to characterize postoperative outcomes of pediatric patients (ages 0‐18) with a history of congenital head and neck teratomas.Data SourcesPubMed, EMBASE, Web of Science, Cochrane, Clinicaltrails.gov.Review MethodsA search of multiple databases was performed. Studies were included if they detailed the surgical management and outcomes of pediatric patients with a history of congenital head and neck teratomas.ResultsOne hundred and eight studies totaling 137 patients were identified. The median gestational age at birth was 37 weeks. Respiratory distress, prompting emergent endotracheal intubation or tracheostomy, was present in most patients (58%). The ex utero intrapartum treatment (EXIT) procedure was utilized for 21 (15%) patients. The teratomas were resected after a median duration of 4 days from birth. The most common postsurgical complications were vocal cord paralysis (3%), hemorrhage (2%), and tracheomalacia (2%). Death occurred perioperatively in 2 patients (2%). Twenty‐six patients (19%) required additional surgery, and 5 patients (4%) needed adjuvant chemotherapy. Patients were monitored for a median duration of 24 months with a recurrence rate of 6%. Four recurrent cases (50%) had intracranial extension, and 88% of the recurrent cases were mature teratomas at initial histopathological diagnosis.ConclusionMost patients with congenital head and neck teratomas require emergent airway management perinatally. Excisional and surgical complications are rare, and most patients are cured of their disease with a single operation. Recurrent teratomas tend to have an intracranial extension and are likely to be of mature pathology at the time of initial diagnosis.

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An unusual case of a giant fetal facial tumour and review of the literature

et al. 2023

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We present the case of a pregnant 32-year-old woman who presented with a giant fetal facial tumour at 22 weeks. The mass, initially 4 × 3.5 × 3 cm in size, was largely cystic with a small solid component. It subsequently increased to 9 × 9 × 10 cm. Significant compression effects on the fetal orbit, temple and infratemporal fossa, with potential compression of the optic nerve, were noted on ultrasound and MRI. The cyst required drainage twice in the pregnancy: firstly to reduce the compression effects and secondly to facilitate caesarean delivery. Postnatally, the baby had significant compression and displacement of the craniofacial skeleton from the mass effect. Postnatal histology revealed a diagnosis of a teratoma. This case highlights the complexities and challenges surrounding the diagnosis and management of a giant fetal facial tumour.

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Congenital teratoma of the neck: A case report and literature review

Cited by 10 publications

References 13 publications

Congenital Cervical Teratoma

Congenital Cervical Teratoma

Surgical Management and Outcomes of Pediatric Congenital Head and Neck Teratomas: A Scoping Review

An unusual case of a giant fetal facial tumour and review of the literature

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