Sažetak sa skupa
Teratoma – the unexpected culprit
Ema Ahel Ledić
orcid.org/0009-0009-4404-0454
; KBC Rijeka, Krešimirova 42, 51000 Rijeka, Hrvatska
Elvira Kereković Mašić
; Klinika za dječje bolesti, Klaićeva 16, 10000 Zagreb, Hrvatska
Tomislav Baudoin
; KBC Sestre milosrdnice, Vinogradska 29, 10000 Zagreb, Hrvatska
Sažetak
Aim: To present two case reports where radiologically misdiagnosed lesions on the neck (lymphangioma,
respectively neuroblastoma) and in floor of the mouth (ranula) were ultimately confirmed by pathohistology
as teratomas. Materials and methods: The first case showcased a newborn without spontaneous respiration and
movement at birth due to an intrauterinely verified formation on the right side of the neck which radiologically
(USS and MR) pointed to lymphangioma and the biopsy indicated neuroblastoma. The second case presented
a 9-month-old infant in whom MRI of the neck diagnosed a ranula that was progressively growing in the floor
of the oral cavity, causing dysphagia of solid food. Results: Chemotherapy with carboplatin was initially
conducted in the first case, but due to further growth of the tumor mass and compression of the airway, surgical
excision was performed. In the second case, surgical excision was performed immediately. In both cases, the
pathohistological finding was verified as a teratoma. Conclusion: Teratoma, although the most common tumor
of the neonatal age (sacrococcygeal region), is very rare in the head and neck area (1 – 9%). The cervical
region is the most common site, while lesions in the oropharynx are represented in only 2% of head and neck
cases. Due to its location and size, teratoma can cause airway compression and feeding difficulties, therefore
timely diagnosis (prenatal diagnosis, ultrasound and MRI) with appropriate surgical treatment is of utmost
importance in the management of this pathology.
Ključne riječi
lymphangioma; neuroblastoma; ranula; teratoma
Hrčak ID:
336372
URI
Datum izdavanja:
10.11.2025.
Posjeta: 119 *