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新生儿巨大颈部畸胎瘤的成功手术治疗:一例报告

Successful surgıcal management of a giant neck teratoma in a newborn Baby: A case report.

作者信息

Ali Ismail Mohamed, Yaşar Mehmet, Abdi Abdihakım Artan, Dırken Esın Seren

机构信息

Department of Otolaryngology-Head and Neck Surgery, Mogadishu Somalia Turkish Training and Research Hospital, Mogadishu, Somalia.

Department of Pathology, Mogadishu Somalia Turkish Training and Research Hospital, Mogadishu, Somalia.

出版信息

Ann Med Surg (Lond). 2022 Sep 15;82:104694. doi: 10.1016/j.amsu.2022.104694. eCollection 2022 Oct.

Abstract

Neck tumors in newborns are very rare. Teratomas usually include all three germ cell layers, as well as tissues that are not native to the anatomic site of genesis. Teratomas of the head and neck make up a smaller percentage of congenital teratomas. Because of the external compression that oropharyngeal or neck masses produce, they can cause serious airway obstruction. In addition, the larynx or trachea may have an underlying lesion. We presented a mature, 1-day-old newborn with an isolated giant neck tumor and difficulty breathing. The intubation was successfully done and the entire mass was completely removed. Early neonatal life is explored to emphasize this challenge briefly with several interesting instances, including prenatal diagnosis, therapeutic alternatives, and ex-utero intrapartum therapy (EXIT) techniques.

摘要

新生儿颈部肿瘤非常罕见。畸胎瘤通常包含所有三个胚层,以及起源解剖部位所没有的组织。头颈部畸胎瘤占先天性畸胎瘤的比例较小。由于口咽或颈部肿块产生的外部压迫,它们可导致严重的气道阻塞。此外,喉部或气管可能存在潜在病变。我们报告了一名1天大的成熟新生儿,患有孤立性巨大颈部肿瘤且呼吸困难。插管成功完成,整个肿块被完全切除。本文通过几个有趣的病例简要探讨了新生儿早期面临的这一挑战,包括产前诊断、治疗选择和产时宫外治疗(EXIT)技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d3f/9577653/2f0b6675ace8/gr1.jpg

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