Giant congenital orbital teratoma.

Autor: Pires de Mello de Azevedo, Ana Carolina, Nickel, Vinicius, de Mory Volpini, Letícia, Teixeira de Almeida, Andréa, Moreira da Costa, Luma, Aragao Torres, Rodrigo, Martins Costa, Fabiolla Maria
Předmět:
Zdroj: International Archives of Otorhinolaryngology; 2022 Supplement, Vol. 26, p57-57, 1/4p
Abstrakt: V.P., female, four days old, was transferred to the Head and Neck Surgery Service of Hospital Universitário Pedro Ernesto - RJ expansive lesion in the right orbit. Full-term newborn, 2900g at birth, Apgar 8/9. Prenatal care was performed properly; sorologies performed during prenatal and at birth were negative; pregnancy was uneventful. Abdominal ultrasonography performed before birth showed a huge mass in right orbit and cesarean section was indicated. After birth, the physical examination showed a voluminous tumoral mass with necrotic points in the right orbit, which prevented eyelid occlusion. No other malformations were identified. Imaging tests were performed, including CT and NMR of the skull and orbits. The hypothesis was congenital cystic teratoma of the orbit. Surgical ressection of the lesion was indicated, with complete exenteration of the lesion and the right orbit. The procedure was uneventful and the patient keeps on regular follow up in the Head and Neck Surgery service, with good evolution and no complications. Teratoma is a benign tumor derived from cells of the three germ layers - ectoderm, mesoderm and endoderm. Congenital orbital teratoma is a rare disease that has a rapid evolution and the only treatment is surgery, which can culminate in exenteration of the newborn's orbit. Therefore, although it's rare, the morbidity of it makes very important that we know how to diagnose and treat it quickly. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index