Unilateral Periorbital Swelling in a Pediatric Patient
Ana Rosas Herrera1, Ashley B Parker2, Mark Chaskes1
1Department of Otolaryngology-Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Clinical Medicine Insights. Case Reports
|June 3, 2024
Summary
This study reports a rare pediatric teratoma in the infratemporal fossa (ITF). The tumor, primarily pancreatic tissue, caused recurrent periorbital swelling unresponsive to antibiotics.
Area of Science:
- Pediatric Oncology
- Head and Neck Surgery
- Pathology
Background:
- Infratemporal fossa (ITF) tumors are uncommon in children.
- Teratomas, neoplasms from three germ layers, represent 6-10% of head and neck tumors.
Observation:
- A 3-year-old girl experienced 2 years of recurrent left periorbital swelling, fevers, and pain.
- Symptoms were unresponsive to antibiotic treatment.
- Imaging identified a cystic lesion in the ITF.
Findings:
- Endoscopic endonasal biopsy confirmed a mature teratoma.
- The teratoma was predominantly composed of pancreatic tissue.
Implications:
- Teratomas should be considered in the differential diagnosis of pediatric ITF tumors.
- This case highlights the importance of considering rare diagnoses for persistent periorbital edema.
