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- Title
Pediatric Oropharyngeal Teratoma: Treatment And Outcome.
- Authors
Jalil, Suhaili Abdul; Mohamad, Hazama; Ghazali, Norzi
- Abstract
Introduction: Teratomas of head and neck are extremely rare and only about 10% of teratomas are found in this area. Epignathus is commonly used to describe a congenital teratoma in the oropharyngeal region which is associated with high neonatal mortality due to severe airway obstruction. It is estimated incidence of one in 35,000 to one in 200,000 live births and more common in female. Teratoma is composed of cells from all three germinal layers. The most common presenting symptoms are upper airway obstruction and nasal regurgitation. Systematic antenatal ultrasound allows early diagnosis of these tumours and planning of appropriate management to anticipate acute upper airway obstruction. Method: Case report. Results: We reported a 3-month old girl with nasal regurgitation since day 2 of life. Intraoral examination revealed pinkish globular mass, smooth surface at left side of oropharynx and become prominent upon crying. Complete excision of pedunculated mass that originated from posterior pharyngeal wall at the level of oropharynx was done under general anesthesia. Postoperative patient recovered and discharged well. Serial alpha-fetoprotein reduced and back to normal. Conclusion: Oropharyngeal teratoma can cause severe upper airway obstruction. Surgery is the mainstay of treatment of teratomas.
- Subjects
ALPHA fetoproteins; PEDIATRICS; TERATOMA; SYMPTOMS; OROPHARYNGEAL cancer
- Publication
International Medical Journal, 2016, Vol 23, Issue 5, p563
- ISSN
1341-2051
- Publication type
Article