Malignant cervical teratoma: report of a case in a newborn

Head and Neck Oncology

DOI: 10.1007/s00405-005-0917-2

Cite this article as:
Muscatello, L., Giudice, M. & Feltri, M. Eur Arch Otorhinolaryngol (2005) 262: 899. doi:10.1007/s00405-005-0917-2

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.

Keywords

Malignant cervical teratoma Cystic hygroma Epignathus Dermoid cyst Newborn 

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Luca Muscatello
    • 1
  • Marco Giudice
    • 1
    • 3
  • Maddalena Feltri
    • 2
  1. 1.Department of OtorhinolaryngologyHospital of VareseVareseItaly
  2. 2.Department of PathologyHospital of VareseVareseItaly
  3. 3.Department of OtorhinolaryngologyOspedale di CircoloVareseItaly

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