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Malignant epignathus teratoma.

Sc Too, S Ahmad Sarji, Yi Yik

Biomedical Imaging and Intervention Journal

|May 27, 2011

Summary

A rare neonatal epignathus teratoma presented aggressively, recurring rapidly after surgery and causing hydrocephalus. This case highlights the challenges in diagnosing and managing these complex congenital tumors in newborns.

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Area of Science:

Pediatric Surgery
Neonatal Pathology
Diagnostic Imaging

Background:

Neonatal epignathus teratomas are rare congenital tumors.
Early detection via antenatal ultrasound is crucial for planning delivery and management.

Observation:

A fetus presented with a left facial mass detected antenatally, leading to delivery via Cesarean section due to fetal distress.
Postnatal imaging revealed a large mass with mixed components (calcifications, soft tissue, fat, fluid).

Findings:

Histological examination confirmed a teratoma with no initial malignant features.
Rapid tumor recurrence occurred within two weeks, involving intracranial structures and causing obstructive hydrocephalus.

Implications:

This case underscores the potential for aggressive behavior and rapid recurrence in neonatal epignathus teratomas, even without initial malignant histology.
The findings emphasize the need for vigilant postoperative monitoring and advanced imaging in managing these challenging cases.

Keywords:

Epignathus teratoma imaging features

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