Elmasalme F, Giacomantonio M, Clarke K D, Othman E, Matbouli S
Department of Pediatric Surgery, Maternity and Children's Hospital, Jeddah, Saudi Arabia.
Eur J Pediatr Surg. 2000 Aug;10(4):252-7. doi: 10.1055/s-2008-1072369.
Cervical teratomas are uncommon neoplasms. Although these lesions are histologically benign they are usually large and may cause airway obstruction. Cervical teratomas are usually diagnosed at birth. In-utero diagnosis is possible by prenatal ultrasound which assists in planning early airway management and surgical intervention. Mortality is significant but prognosis is good with airway control and complete surgical excision. However, pressure injury of contiguous structures can limit resectability and adversely affect outcome. Malignant cervical teratoma with metastasis has been reported mostly arising in adults with poor outcome. We present nine cases of neonatal cervical teratoma identified at two institutions between 1984 and 1996. One patient died before surgical intervention. All others underwent resection. There was one intraoperative death and one postoperative death. The remaining six patients did well postoperatively with no significant sequelae with 3 to 14 years follow-up.
颈部畸胎瘤是罕见的肿瘤。尽管这些病变在组织学上是良性的，但通常体积较大，可能导致气道阻塞。颈部畸胎瘤通常在出生时被诊断出来。产前超声检查可在子宫内进行诊断，这有助于规划早期气道管理和手术干预。死亡率较高，但通过气道控制和完整的手术切除，预后良好。然而，相邻结构的压迫性损伤会限制可切除性，并对预后产生不利影响。有报道称，发生转移的恶性颈部畸胎瘤大多出现在成年人中，预后较差。我们报告了1984年至1996年间在两家机构确诊的9例新生儿颈部畸胎瘤病例。1例患者在手术干预前死亡。其他所有患者均接受了切除术。术中死亡1例，术后死亡1例。其余6例患者术后恢复良好，在3至14年的随访中无明显后遗症。
