Two Newborn Cases Of Sacrococcygal And Oropharyngeal Teratoma

Öz

Teratomas are generally congenital tumors which are diagnosed in infantile period and mostly seen in sacrococcygeal region. Histopathologically, they are mostly benign tumors. Its prognosis varies depending on factors such as size, location, and gestational week at birth. Oropharyngeal tumors are very rare and are also called epignatus. The main treatment is surgery. In this report, we present two cases of congenital teratoma with different prognosis and location.

Anahtar Kelimeler

• Sacrococoygeal,orophoryngeal,teratoma,newborn

Sakrokoksigeal ve Orofarengeal Teratomlu İki Yenidoğan Olgusu

Öz

Teratomlar genellikle infantil dönemde tanı alan, en çok sakrokoksigeal bölgede yerleşen konjenital tümörlerdir ve histopatolojik olarak çoğunlukla benigndir. Olguların prognozu, büyüklük, yerleşim yeri ve doğumdaki gebelik haftası gibi faktörlere bağlı olarak değişir. Orofaringeal teratomlar oldukça nadir görülmekte olup epignatus olarak da adlandırılırlar. Esas tedavi cerrahidir. Bu sunumda, yerleşim yerleri ve prognozları farklı olan iki konjenital teratom olgusu takdim edilmektedir.

Anahtar Kelimeler

• Sakrokoksigeal,orofarengeal,teratom,yenidoğan

Kaynakça

1. Cannon CR, Johns ME, Fechner RE. Immature teratoma of the larynx. Otolaryngol Head Neck Surg 1987;96(4):366–8.[3] Azizkhan RG, Caty MG. Teratomas in childhood.
2. Azizkhan RG, Caty MG. Teratomas in childhood. Curr Opin Pediatr 1996;8(3):287–92.
3. Vandenhaute B, Leteurtre E, Lecomte-Houcke M, et al: Epignathus tera- toma: Report of three cases with a review of the literature. Cleft Palate Craniofac J 37:83, 2000
4. Holterman AX, Filiatrault D, Lallier M, et al. 1998. The natural history of sacrococcygeal teratomas diagnosed through routine obstetric sonog- ram: a single institution experience. J Pediatr Surg 33: 899–903.
5. Sheil AT, Collins KA. Fatal birth trauma due to an undiagnosed abdominal teratomas: Case report and Review of Literature. Am J of Forensicmedi- cineandPathology 2007;28:121-130.
6. Nakeayama DK, Killian A, Hill LM, et al. The newborn with hydrops and sacrococcygeal teratoma. Pediatr Surg. 1991 Dec;26(12):1435-8.
7. Din GC, Zhao YF, Giant epignathus teratoma: Report of a case.J Oral MaxillofacSurg. 2007 Feb;65(2):337-40.
8. Altman RP, Randolph JG, Lilly JR. Sacrococcygealteratoma: American Aca- demy of Pediatrics Surgical Section survey. J Pediatr Surg 1974;9:389–98.

9. Usui N, Kitano Y, Sago H, et al. Outcomes of prenatally diagnosed sac- rococcygeal teratomas: theresults of a Japanese nation wide survey. J Pediatr Surg 2012;47(3): 441–7.
10. Chisholm CA, Heider AL, Kuller JA, vonAllmen D, McMahon MJ, Chesc- heirNC. Prenatal diagnosis and perinatal management of fetal sacrococ- cygeal teratoma. Am J Perinatol 1999;16:47–50.
11. Lee MY, Won HS, Hyun MK, et al. Perinatal out come of sacrococcygeal teratoma. Prenat Diagn2011;31:1217.
12. Pauniaho SL, Heikinheimo O, Vettenranta K, Salonen J, Stefanovic V, Rit- vanen A, Rintala R, Heikinheimo M. High prevalence of sacrococcygeal teratoma in Finland - a nation wide population-based study. Acta Paediatr. 2013 Jun;102(6):e251-6
13. Ruano R, Duarte S, Zugaib M. Percutaneous laser ablation of sacrococ- cygeal teratoma in a hydropic fetüs with severe heart failure — too late for a surgical procedure? Fetal DiagnTher 2009;25(1):26–30.
14. Peiró JL, Sbragia L, Scorletti F, Lim FY, Shaaban A Management of fetal teratomas.Pediatr SurgInt. 2016 Jul;32(7):635-47.
15. Jordan RB,Gauderer MW.Cervical teratomas: an analysis. Literature re- view and proposed classification. J Pediatr Surg 1988;23(6):583–91.14
16. Brodsky JR, Irace AL, Didas A, Watters K, Estroff JA, Barnewolt CE, Pe- rez-Atayde A, Rahbar R Teratoma of the neonatal head and neck: A 41- year experience. Int J Pediatr Otorhinolaryngol. 2017 Jun;97:66-71
17. Maartens IA, Wassenberg T, Halbertsma FJ, Marres HA, Andriessen P. Neonatal airway obstruction caused by rapidly growing nasopharyngeal teratome. Acta Paediatr2009;98:1852-4.
18. Isaacs H Jr (2004) Perinatal (fetalandneonatal) germ cell tumors. J Pedi- atr Surg 39:1003–1013
19. K. Clement, P. Chamberlain, P. Boyd, A. Molyneux, Prenatal diagnosis of an epignathus: a case report and review of the literature, Ultrasound Obs- tet. Gynecol. 18 (2) (2001) 178e181.
20. Jarrahy R1, Cha ST, Mathiasen RA, Shahinian HK : Congenital teratoma of the oropharyngeal cavity with intracranial extension: case report and literatüre review. J Craniofac Surg. 2000 Mar;11(2):106-12
21. Rothschild MA, Catalano P, Urken M et al .Evaluation and management of congenital cervical teratoma. Case report and review. Arch Otolaryngol- Head Neck Surg 1994; 120(4):444-8