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具有胎儿样特征的上颌寄生胎。

Epignathus with fetiform features.

作者信息

Kumar Sunil Y, Shrikrishna U, Shetty Jayaprakash, Sitaram Aishwarya

机构信息

Department of Pathology, KS Hegde Medical Academy, Deralakatte, Mangalore, India.

出版信息

J Lab Physicians. 2011 Jan;3(1):56-8. doi: 10.4103/0974-2727.78571.

DOI:10.4103/0974-2727.78571
PMID:21701667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3118061/
Abstract

Epignathus is an extremely rare oropharyngeal teratoma that commonly arises from the palate, leading to a high mortality (80-100%) due to airway obstruction in the neonatal period. We present a case of epignathus immature teratoma with fetiform features, originating from basisphenoid in a 28-week preterm male baby, who succumbed to death immediately after birth. Since epignathus is a life-threatening condition at the time of delivery, a prenatal diagnosis is essential to coordinate the treatment and appropriate management by securing the airway, either by endotracheal intubation or tracheostomy followed by complete resection of the tumor.

摘要

上颌鼻型畸胎瘤是一种极为罕见的口咽畸胎瘤,通常起源于腭部,由于新生儿期气道阻塞导致高死亡率(80 - 100%)。我们报告一例具有胎儿样特征的上颌鼻型未成熟畸胎瘤病例,起源于一名28周早产男婴的蝶骨基部,该婴儿出生后即刻死亡。由于上颌鼻型畸胎瘤在分娩时是一种危及生命的疾病,产前诊断对于通过气管插管或气管切开确保气道安全,随后完整切除肿瘤来协调治疗和适当管理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0347/3118061/138f2677e1ab/JLP-3-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0347/3118061/c4e164b37947/JLP-3-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0347/3118061/138f2677e1ab/JLP-3-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0347/3118061/c4e164b37947/JLP-3-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0347/3118061/138f2677e1ab/JLP-3-56-g002.jpg

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Malignant and Benign Head and Neck Tumors of the Pediatric Age: A Narrative Review.儿童期头颈部良恶性肿瘤:一项叙述性综述
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本文引用的文献

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Malignant epignathus teratoma.恶性上颌畸胎瘤。
Biomed Imaging Interv J. 2008 Apr;4(2):e18. doi: 10.2349/biij.4.2.e18. Epub 2008 Apr 1.
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Neonatal oral tumors: congenital epulis and epignathus.新生儿口腔肿瘤:先天性牙龈瘤和颌内肿物。
J Pediatr Surg. 2008 Sep;43(9):e9-11. doi: 10.1016/j.jpedsurg.2008.03.055.
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Transpalatal endoscopic endonasal resection of a giant epignathus skull base teratoma in a newborn. Case report.经腭内镜下经鼻切除新生儿巨大鼻咽部颅底畸胎瘤。病例报告。
产前诊断未成熟型鼻咽部畸胎瘤 1 例并文献复习
Rev Colomb Obstet Ginecol. 2023 Mar 30;74(1):68-86. doi: 10.18597/rcog.3906.
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Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review.利用虚拟重建和3D模型进行腭部畸胎瘤(胎儿颌部寄生胎)的外科治疗:病例报告及文献综述
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Congenital epignathus associated with a cleft palate: a case report.先天性悬垂腭并腭裂:病例报告。
J Med Case Rep. 2021 Aug 3;15(1):422. doi: 10.1186/s13256-021-03007-w.
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Epignathus with oropharynx destruction.伴有口咽破坏的上颌寄生胎。
Autops Case Rep. 2021 Jun 25;11:e2021293. doi: 10.4322/acr.2021.293. eCollection 2021.
7
Prenatal Diagnosis and Immediate Successful Management of Isolated Fetal Epignathus.孤立性胎儿上颌寄生胎的产前诊断及即刻成功处理
J Med Ultrasound. 2019 Jun 4;27(4):198-201. doi: 10.4103/JMU.JMU_125_18. eCollection 2019 Oct-Dec.
8
Prenatal ultrasound and magnetic resonance imaging findings of a hypovascular epignathus with a favorable prognosis.预后良好的低血供上腹部寄生胎的产前超声和磁共振成像表现
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9
Oropharyngeal teratoma, a rare cause of airway obstruction in neonates.口咽畸胎瘤是新生儿气道梗阻的罕见原因。
BMJ Case Rep. 2012 Jul 18;2012:bcr2012006580. doi: 10.1136/bcr-2012-006580.
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Giant intracranial teratoma with epignathus in a neonate. Case report and review of the literature.新生儿巨大颅内畸胎瘤合并口鼻部寄生胎。病例报告及文献复习
J Neurosurg. 2007 Mar;106(3 Suppl):232-6. doi: 10.3171/ped.2007.106.3.232.
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Br J Oral Maxillofac Surg. 2007 Jun;45(4):326-7. doi: 10.1016/j.bjoms.2005.11.007. Epub 2005 Dec 22.
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Congenital teratoma of the face.面部先天性畸胎瘤
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Oral tumors in newborn.
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