Uchiyama M, Iwafuchi M, Naitoh S, Matsuda Y, Naitoh M, Yagi M, Hoshi E, Nonomura N
Department of Pediatric Surgery, Niigata University School of Medicine, Japan.
Surg Today. 1995;25(8):737-40. doi: 10.1007/BF00311491.
A neonate with a large cervical mass was transferred to our hospital at 4 days of age. A computed tomography scan showed a contrast-enhanced solid mass with multiple cystic elements and fine calcification. Ultrasonography also revealed a predominantly solid mass with calcification, containing multiple cysts. These studies suggested a teratoma, but could not rule out a hemangioma. The tumor was removed on the 12th day of life. A pathological study revealed an immature teratoma that demonstrated fetal type cartilage and an immature neural tube. The operative complete removal of a cervical teratoma in neonates is recommended as soon as possible. The management of a pediatric cervical teratoma should also be similar to that of a sacrococcygeal teratoma. The incidence of cervical teratoma in all pediatric teratomas ranges from 2.3%-9.3% in the West, and from 1.6%-8.3% in Japan.
一名患有巨大颈部肿块的新生儿在4日龄时被转诊至我院。计算机断层扫描显示一个有强化的实性肿块，伴有多个囊性成分和微小钙化。超声检查也显示一个以实性为主的肿块，伴有钙化，包含多个囊肿。这些检查提示为畸胎瘤，但不能排除血管瘤。该肿瘤在出生后第12天被切除。病理研究显示为未成熟畸胎瘤，可见胎儿型软骨和未成熟神经管。建议尽早对新生儿颈部畸胎瘤进行手术完整切除。小儿颈部畸胎瘤的治疗也应与骶尾部畸胎瘤相似。在西方，所有小儿畸胎瘤中颈部畸胎瘤的发生率为2.3%-9.3%，在日本为1.6%-8.3%。
