Marras T, Poenaru D, Kamal I
Department of Surgery, Queen's University Faculty of Medicine, Kingston, Ontario.
J Otolaryngol. 1995 Oct;24(5):310-2.
Nasopharyngeal teratoma is a rare benign entity, with most of the published literature represented by sporadic case reports. We present a recent case of a 23-year-old woman found to have elevated maternal serum alpha-fetoprotein and ultrasound findings of a fetal cystic mass in the mandibular region. The infant had a large nasopharyngeal teratoma protruding from the oral cavity making airway access extremely difficult. The presence of severe coexisting cardiac anomalies and respiratory disease led to death in the neonatal period. This report and the review of the literature stress the importance of recognizing suggestive prenatal data and preparing for perinatal management including maintenance of fetal oxygenation and aggressive early provision of an adequate airway.
鼻咽部畸胎瘤是一种罕见的良性病变，已发表的文献大多为散发病例报告。我们报告了近期一例23岁女性病例，其母体血清甲胎蛋白升高，超声检查发现胎儿下颌区域有一囊性肿物。该婴儿有一个从口腔突出的巨大鼻咽部畸胎瘤，导致气道通路极难建立。严重并存的心脏异常和呼吸系统疾病导致该婴儿在新生儿期死亡。本报告及文献复习强调了识别产前提示性数据以及为围产期管理做准备的重要性，包括维持胎儿氧合以及积极早期提供足够的气道。
