Reinhold Aja, Meyer Peter, Bruder Elisabeth, Soleman Jehuda, von der Weid Nicolas, Mueller Andreas Albert, Savic Miodrag
Department of Ophthalmology, University Basel, Mittlere Strasse 91, 4056, Basel, Switzerland.
Medical Genetics and Pathology, Hospital of the University of Basel, Schönbeinstrasse 49, 4003, Basel, Switzerland.
Am J Ophthalmol Case Rep. 2022 Feb 11;26:101420. doi: 10.1016/j.ajoc.2022.101420. eCollection 2022 Jun.
Orbital teratoma can be removed in order to preserve the bulb.
Case report of a newborn with an orbital tumor. After spontaneous birth, a massive bulbus protrusion on the left side was observed. Magnetic Resonance Imaging (MRI) diagnosis showed an intraorbital cystic lesion containing solid parts and displacing the bulbus oculi. Suspecting a teratoma, primarily a cystic puncture was performed on the first day of life. On the 3rd day of life, cystic lesion was completely resected while preserving the bulbus. Histologically a mature cystic teratoma was observed.
This case shows how important prenatal diagnostics is in order to plan the necessary birth preparations in advance and that a bulbus-preserving surgery in orbital teratoma is possible. In the absence of yolk-salk tumor it is associated with a good prognosis.
为保留眼球可切除眼眶畸胎瘤。
一名患有眼眶肿瘤的新生儿病例报告。自然分娩后,观察到左侧眼球大量突出。磁共振成像(MRI)诊断显示眼眶内有一个包含实性部分并使眼球移位的囊性病变。怀疑是畸胎瘤,在出生第一天首先进行了囊肿穿刺。出生第3天,在保留眼球的同时完整切除了囊性病变。组织学检查发现是成熟的囊性畸胎瘤。
该病例表明产前诊断对于提前规划必要的分娩准备非常重要,并且眼眶畸胎瘤保留眼球的手术是可行的。在没有卵黄囊瘤的情况下,预后良好。