Department of Pediatric Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Pediatric Gastroenterology, Shiraz University of Medical Sciences, Shiraz, Iran.
J Med Case Rep. 2024 May 17;18(1):254. doi: 10.1186/s13256-024-04535-x.
Cervical teratomas are rare congenital neoplasms that can cause neonatal airway obstruction if large.
The female Persian neonate displayed respiratory distress at birth, with a 7 cm × 8 cm cystic solid mass identified on the left side of the neck. Antenatal ultrasonography revealed polyhydramnios. Despite initial stabilization, the infant required intubation and mechanical ventilation due to persistent respiratory distress. Imaging confirmed a cystic mass compressing the trachea, ruling out cystic hygroma. Surgical resection on postnatal day 17 revealed a 10 cm × 10 cm solid cystic structure, histologically identified as an immature teratoma.
Despite risks of poor fetal and postnatal outcome from large cervical teratomas, early surgical resection after airway stabilization can result in recovery. Proper multidisciplinary management of respiratory distress from such tumors is paramount.
宫颈畸胎瘤是罕见的先天性肿瘤，如果体积较大，可能会导致新生儿气道阻塞。
这例雌性波斯新生儿在出生时即出现呼吸窘迫，在其颈部左侧发现一个 7×8 厘米的囊实性肿块。产前超声检查显示羊水过多。尽管最初病情稳定，但由于持续存在呼吸窘迫，婴儿仍需要插管和机械通气。影像学检查证实一个囊性肿块压迫气管，排除囊状水瘤。出生后第 17 天行手术切除，发现一个 10×10 厘米的实性囊性结构，组织学诊断为未成熟畸胎瘤。
尽管大的宫颈畸胎瘤可能导致胎儿和新生儿预后不良，但在气道稳定后尽早进行手术切除仍可恢复。对于此类肿瘤引起的呼吸窘迫，适当的多学科管理至关重要。
