Subject: newborn tumors
Subject: neck teratoma
Subject: neonatal cervical compression
Year: 2021
Type: Article
Title: LARGE NECK TERATOMA IN A NEWBORN WITH RESPIRATORY DISTRESS SYNDROME
Author: Orhideja Stomnaroska
Author: Goran Kocovski
Author: Zdravkovski, Panche
Author: Boro Ilievski
Author: Rubens Jovanovic
Author: Gordana Petrusevska
Abstract: Neonatal tumours in the neck region are a rare finding. Teratomas typically comprise all three germ cell layers with tissues usually foreign to the anatomic site of origin. Head and neck teratomas account a smaller part of congenital teratomas. They can cause major airway obstruction due to the external compression that oropharyngeal or neck masses produce. In addition, there can be an intrinsic lesion in the larynx or trachea. We describe a premature, 30-gestational week-old newborn with large subcutaneous neck mass. Pre-delivery ultrasound showed heterogeneous tumor structure and displaced larynx. The intubation was successful. The newborn developed respiratory distress syndrome immediately after birth which rendered the surgical removal of the neck tumor impossible. An autopsy was done, and the histopathology revealed mature teratoma comprising muscle, brain, salivary and pulmonary tissues, as well as well-developed hyaline membranes in the alveoli. The combination of the respiratory distress syndrome and the neck tumor compression proved fatal. Prenatal diagnosis, therapeutic options and ex utero intrapartum treatment (EXIT) procedures are discussed for the diagnosis and management of this very rare tumor.
Publisher: Macedonian Academy of Sciences and Arts / Sciendo
Relation: Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)
Identifier: oai:repository.ukim.mk:20.500.12188/13676
Identifier: 1857-9345
Identifier: http://hdl.handle.net/20.500.12188/13676
