Malhotra Sonali, Negi Prerna, Sagar Poonam
Department of Otorhinolaryngology-Head & Neck Surgery, Lady Hardinge Medical College & Associated Hospitals, Shaheed Bhagat Singh Marg, New Delhi, 110001 India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):6519-6523. doi: 10.1007/s12070-021-02942-w. Epub 2021 Oct 20.
Cervical teratoma is a rare form of teratoma in neonates and is an unusual cause of cervical masses in them. Teratomas are unusual tumors derived from all 3 germs cell layers: endoderm, mesoderm, and ectoderm, with varying proportions. The cervical teratoma is a rare entity. Its prognosis mostly depends on the risk of neonatal respiratory distress, its extension and potential malignancy. Surgical management must be as complete as possible to avoid recurrences and malignant transformation. We report a case of a cervical immature teratoma in an infant with total excision and cure. No recurrence has been reported. The aim of our study is to review the diagnosis, management and outcomes of congenital cervical teratomas. Cervical teratoma although uncommon should be considered in the differential diagnosis of neck masses in neonates. Teratomas are rare tumors derived from all three germ cell layers affecting the neck in 3% of all cases. An early complete surgical approach to congenital cervical teratomas allows good results with low rates of complication and recurrence.
颈部畸胎瘤是新生儿畸胎瘤的一种罕见形式,也是新生儿颈部肿块的不常见病因。畸胎瘤是源自所有三个胚层(内胚层、中胚层和外胚层)的不常见肿瘤,比例各不相同。颈部畸胎瘤是一种罕见的实体。其预后主要取决于新生儿呼吸窘迫的风险、肿瘤的扩展情况以及潜在的恶性程度。手术治疗必须尽可能彻底,以避免复发和恶性转化。我们报告一例婴儿颈部未成熟畸胎瘤,经完全切除后治愈,未报告复发情况。我们研究的目的是回顾先天性颈部畸胎瘤的诊断、治疗及结果。颈部畸胎瘤虽然不常见,但在新生儿颈部肿块的鉴别诊断中应予以考虑。畸胎瘤是源自所有三个胚层的罕见肿瘤,在所有病例中占3%,会影响颈部。对先天性颈部畸胎瘤尽早采取完整的手术方法可取得良好效果,并发症和复发率较低。