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鼻咽巨大畸胎瘤。

Huge teratoma of the nasopharynx.

作者信息

Hossein Azarsina, Mohammad Ajalloueyan

机构信息

Department of Anesthesiology, Baghiyatollah Medical Science University, Tehran, Iran.

出版信息

Am J Otolaryngol. 2007 May-Jun;28(3):177-9. doi: 10.1016/j.amjoto.2005.05.006.

Abstract

Congenital immature teratoma of the nasopharynx is a very rare form of extragonadal teratoma. In this article, management of a newborn with nasopharyngeal teratoma who underwent tumor resection is reported. The tumor, which originated from the nasopharynx, almost filled the oral cavity and protruded through the mouth, with its external part comparable to the size of the head. She could breath when the head and mass were turned to the left. For safe management of these cases, prenatal evaluation, careful preoperative assessment of the airway, sufficient preparation, and intubation by an expert are mandatory. Perioperative bleeding and obstruction of airway by the tumor or its remnant could render the case difficult.

摘要

先天性鼻咽未成熟畸胎瘤是一种非常罕见的性腺外畸胎瘤形式。本文报道了1例接受肿瘤切除术的鼻咽畸胎瘤新生儿的治疗情况。该肿瘤起源于鼻咽部,几乎充满口腔并经口腔突出,其外部部分与头部大小相当。当头部和肿块转向左侧时,她能够呼吸。对于这些病例的安全处理,产前评估、仔细的术前气道评估、充分的准备以及由专家进行插管是必不可少的。围手术期出血以及肿瘤或其残余物导致的气道阻塞可能使病例变得棘手。

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