Abstract
Background
Neonatal nasopharyngeal teratomas are extremely rare and there are few reports describing both CT and MRI features of these lesions.
Objective
To describe the CT and MRI appearances of neonatal nasopharyngeal teratoma.
Materials and methods
Three neonates with nasopharyngeal teratomas and severe respiratory distress were reviewed.
Results
The nasopharyngeal mass resulted in severe respiratory compromise requiring urgent intervention. Characteristic mandibular and pterygoid plate abnormalities demonstrated by CT and MRI are described.
Conclusions
Prenatal MRI enables the diagnosis, delineates tumour extent and allows planned delivery. CT and MRI play a key role in differentiating neonatal nasopharyngeal teratomas from other causes of a neonatal neck mass, thus optimising management.
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References
Azizkhan RG, Haase GM, Applebaum H, et al (1995) Diagnosis, management, and outcome of cervicofacial teratomas in neonates: a Childrens Cancer Group study. J Pediatr Surg 30:312–316
Uchiyama M, Iwafuchi M, Naitoh S, et al (1995) A huge immature cervical teratoma in a newborn: report of a case. Surg Today 25:737–740
Elmasalme F, Giacomantonio M, Clarke KD, et al (2000) Congenital cervical teratoma in neonates. Case report and review. Eur J Pediatr Surg 10:252–257
April MM, Ward RF, Garelick JM (1998) Diagnosis, management, and follow-up of congenital head and neck teratomas. Laryngoscope 108:1398–1401
Judd MJ (2000) Congenital cervical teratoma with pressure deformity of the trachea. J Otolaryngol 29:188–190
Carr MM, Thorner P, Phillips JH (1997) Congenital teratomas of the head and neck. J Otolaryngol 26:246–252
Green JS, Dickinson FL, Rickett A, et al (1998) MRI in the assessment of a newborn with cervical teratoma. Pediatr Radiol 28:709–710
Sarin YK (1999) An unusual congenital nasopharyngeal teratoma. Pediatr Surg Int 15:56–57
Howell CG, Van Tassel P, EI Gammal T (1984) High resolution computed tomography in neonatal nasopharyngeal teratoma. J Comput Assist Tomogr 8:1171–1181
De Vries EJ, Sekhar LN, Jones NF, et al (1988) Nasopharyngeal teratoma involving the temporal bone. Int J Pediatr Otolaryngol 16:167–173
Wakhlu A, Wakhlu AK (2000) Head and neck teratomas in children. Pediatr Surg Int 16:333–337
Scheraga JL, Wasenko JJ, Davis RL (1996) MR of intracranial extension of nasopharyngeal teratoma. AJNR 17:1494
Montoya P, Fuentes JM, Montoya F, et al (1980) A case of intra- and extracranial development of a craniofacial teratoma. Excision during the neonatal period through a mixed cranio-facial approach (in French). Rev Stomatol Chir Maxillofac 81:52–57
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Andronikou, S., Kumbla, S. & Fink, A.M. Neonatal nasopharyngeal teratomas: cross sectional imaging features. Ped Radiol 33, 241–246 (2003). https://doi.org/10.1007/s00247-002-0862-9
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DOI: https://doi.org/10.1007/s00247-002-0862-9