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- Title
Malignant cervical teratoma: report of a case in a newborn.
- Authors
Muscatello, Luca; Giudice, Marco; Feltri, Maddalena
- Abstract
Malignant cervical teratoma (MCT) usually appears in newborns as an enlarging mass of the neck that causes respiratory distress, requiring prompt airway control. We report a case of MCT in an infant electively delivered at 32 weeks to prevent airway impairment. At first, the preoperative diagnosis was hygroma of the neck, and a surgical excision was performed when the newborn was 9 days old. Diagnosis was benign extragonadic immature teratoma, but it was changed in MCT when cervical metastases appeared and the alpha-fetoprotein (AFP) level increased. Subsequent surgical procedures and chemotherapy were necessary. The child has been free from disease and healthy for 7 years since the last surgery. The preoperative diagnosis of MCT is difficult because of its rarity and non-specific clinical findings. Surgical excision is required for an adequate cure and airway repair; a long-term follow-up is mandatory to promptly treat any recurrence.
- Subjects
TERATOMA; NEWBORN infants; CERVICAL cancer; TUMORS; CANCER treatment; RESPIRATORY therapy for newborn infants; AIRWAY (Anatomy)
- Publication
European Archives of Oto-Rhino-Laryngology, 2005, Vol 262, Issue 11, p899
- ISSN
0937-4477
- Publication type
Article
- DOI
10.1007/s00405-005-0917-2