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Updated: May 17, 2026
10:02
State of the Art Cranial Ultrasound Imaging in Neonates
Published on: February 2, 2015
Unilateral progressive proptosis in neonate
Gilbert Paragache1, Naresh K Panda, Kusum Joshi
1Department of Otolaryngology, Post Graduate Institute for Medical Education and Research, Chandigarh, India.
Summary
Orbital teratomas are rare congenital tumors presenting with proptosis. This case highlights a rapidly progressing orbital teratoma, emphasizing the need for prompt diagnosis and management of these germ cell tumors.
Area of Science:
- Ophthalmology
- Pediatric Oncology
- Pathology
Background:
- Orbital teratomas are congenital germ cell tumors.
- They typically present with unilateral proptosis in infants.
- These tumors exhibit diverse tissue components from multiple germinal layers.
Purpose of the Study:
- To describe a case of a rapidly progressing orbital teratoma.
- To discuss the clinical presentation and management of orbital teratomas.
- To highlight the potential for rapid tumor growth.
Main Methods:
- Case report.
- Clinical presentation review.
- Discussion of diagnostic and management considerations.
Main Results:
- The reported orbital teratoma showed rapid progression over days.
- The tumor contained a wide diversity of tissues.
- Historically, orbital exenteration was a common treatment.
Conclusions:
- Orbital teratomas require vigilant monitoring due to potential rapid growth.
- Prompt diagnosis and appropriate management are crucial for favorable outcomes.
- While often benign, malignant transformation is a possibility.
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