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Cranio-orbital teratoma

J U Prause1, S E Børgesen, H Carstensen

  • 1Eye Pathology Institute, University of Copenhagen, Denmark.

Acta Ophthalmologica Scandinavica. Supplement
|January 1, 1996
PubMed
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A rapidly growing tumor in a newborn, involving the orbit and brain, was identified as a secondary orbital teratoma. Surgical removal was performed, with recurrence noted later.

Area of Science:

  • Pediatric Oncology
  • Neurosurgery
  • Ophthalmology

Background:

  • Orbital and intracranial tumors are rare in newborns.
  • Rapidly growing masses pose significant diagnostic and therapeutic challenges.

Observation:

  • A neonate presented with a large, rapidly enlarging tumor affecting the right orbit and anterior intracranial space.
  • The tumor extended through the temporal bone, causing proptosis and eye rupture.
  • Surgical extirpation was performed at 12 days old, followed by a second surgery for recurrence two months later.

Findings:

  • The tumor was classified as a secondary orbital teratoma based on its extensive orbital and intracranial involvement.
  • Histopathological examination revealed a benign teratoma containing elements from all three germinal layers.

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  • The tumor's origin was likely the superior orbital fissure.

    • Implications:

    • This case highlights the aggressive nature and potential for recurrence of secondary orbital teratomas in neonates.
    • Early diagnosis and aggressive surgical management are crucial for managing these rare congenital tumors.
    • Further research into the embryogenesis and optimal treatment strategies for orbital teratomas is warranted.