Azam Huzaifa, Hanif Muhammad Amir, Khan Muhammad Imran, Masood Ayousha, Hashmi Muhammad Usman
Anesthesiology, The Children's Hospital and The Institute of Child Health, Multan, PAK.
Pediatric Surgery, The Children's Hospital and The Institute of Child Health, Multan, PAK.
Cureus. 2021 Oct 31;13(10):e19166. doi: 10.7759/cureus.19166. eCollection 2021 Oct.
Cystic teratoma is a germ cell tumor, which usually involves the gonads. However, it can be located occasionally in other organs. The most common extragonadal sites for germ cell tumors include midline structures such as the retroperitoneum, mediastinum, pineal body, and supra-sellar space. Here, we describe a case of a patient who presented with a cystic teratoma involving the anterior aspect of the neck. The chief complaints of the patient consisted of a large swelling in front of the neck, difficulty in breathing, and frequent regurgitation of milk during feeding. Initially, a diagnosis of cystic hygroma was instituted for which the patient underwent sclerotherapy utilizing bleomycin. However, no improvement was observed in the patient's condition. A detailed evaluation was planned, starting with a CT scan of the head and neck that suggested cystic teratoma as the likely etiology. Surgical excision of the mass was performed, and an excisional biopsy for histopathological examination was taken. A final diagnosis of cervical cystic teratoma was established based on the histopathological findings. The purpose of reporting this case is to raise awareness among fellow healthcare professionals that cystic teratoma can also present with a large swelling in the anterior neck with obstructive features.
囊性畸胎瘤是一种生殖细胞肿瘤，通常累及性腺。然而，它偶尔也可位于其他器官。生殖细胞肿瘤最常见的性腺外部位包括中线结构，如腹膜后、纵隔、松果体和鞍上间隙。在此，我们描述一例患者，其患有累及颈部前方的囊性畸胎瘤。患者的主要症状包括颈部前方巨大肿块、呼吸困难以及喂奶时频繁吐奶。最初，诊断为淋巴管瘤，患者接受了博来霉素硬化治疗。然而，患者病情未见改善。计划进行详细评估，首先对头颈部进行CT扫描，提示囊性畸胎瘤可能是病因。对肿块进行了手术切除，并进行了切除活检以进行组织病理学检查。根据组织病理学结果确诊为颈部囊性畸胎瘤。报告此病例的目的是提高医护同行的认识，即囊性畸胎瘤也可表现为颈部前方巨大肿块并伴有梗阻症状。
