Tharrington C L, Bossen E H
Duke University School of Medicine, Durham, NC.
Arch Pathol Lab Med. 1992 Feb;116(2):165-7.
Teratomas are the most common congenital tumors, but neoplasms of the nasopharynx are rare in neonates and children. Four histologic types of nasopharyngeal teratomas occur-dermoids, teratoids, true teratomas, and epignathi-of which dermoids comprise the vast majority. A case is presented of a neonate born at term exhibiting signs of respiratory difficulty, which were found to be caused by a true teratoma of the nasopharynx. A review of several large case series of pediatric teratomas confirmed the rarity of occurrence at this site. An extensive review of case reports identified those meeting the criteria of true teratomas of the nasopharynx; the characteristics of these cases are delineated.
畸胎瘤是最常见的先天性肿瘤,但新生儿和儿童的鼻咽部肿瘤却很罕见。鼻咽部畸胎瘤有四种组织学类型——皮样囊肿、类畸胎瘤、真性畸胎瘤和口鼻寄生胎,其中皮样囊肿占绝大多数。本文报告一例足月新生儿,出生时出现呼吸困难症状,经检查发现是由鼻咽部真性畸胎瘤引起的。对几个大型儿童畸胎瘤病例系列的回顾证实了该部位发病的罕见性。对病例报告进行广泛回顾,确定了符合鼻咽部真性畸胎瘤标准的病例;并对这些病例的特征进行了描述。