Bahgat Mohammed, Bahgat Yassin, Bahgat Ahmed
Department of ENT and Head & Neck Surgery, Alexandria University Hospitals, Alexandria, Egypt.
BMJ Case Rep. 2012 Jul 18;2012:bcr2012006580. doi: 10.1136/bcr-2012-006580.
Oropharyngeal teratomas are extremely rare congenital tumours, and because of their location in the upper airway they represent one of the most unusual causes of airway obstruction during the neonatal period. We report a 2-month-old girl who presented with repeated vomiting, failure to thrive and recurrent bouts of stridor and cyanosis since birth. On examination there was a mass originating from the oropharynx. The mass was excised under general anaesthesia by CO(2) laser. Histopathological examination revealed a teratoma of the oropharynx. We discuss the clinical presentation, diagnosis and treatment of this case as well as a review of the literature.
口咽畸胎瘤是极其罕见的先天性肿瘤,因其位于上呼吸道,所以是新生儿期气道梗阻最不寻常的原因之一。我们报告一名2个月大的女孩,自出生以来反复出现呕吐、生长发育迟缓以及反复发作的喘鸣和发绀。检查发现有一个起源于口咽的肿块。在全身麻醉下通过二氧化碳激光切除了该肿块。组织病理学检查显示为口咽畸胎瘤。我们讨论了该病例的临床表现、诊断和治疗,并对文献进行了综述。