Skip to main content
Top
Published in: Pediatric Radiology 4/2003

01-04-2003 | Original Article

Neonatal nasopharyngeal teratomas: cross sectional imaging features

Authors: Savvas Andronikou, S. Kumbla, A. Michelle Fink

Published in: Pediatric Radiology | Issue 4/2003

Login to get access

Abstract

Background

Neonatal nasopharyngeal teratomas are extremely rare and there are few reports describing both CT and MRI features of these lesions.

Objective

To describe the CT and MRI appearances of neonatal nasopharyngeal teratoma.

Materials and methods

Three neonates with nasopharyngeal teratomas and severe respiratory distress were reviewed.

Results

The nasopharyngeal mass resulted in severe respiratory compromise requiring urgent intervention. Characteristic mandibular and pterygoid plate abnormalities demonstrated by CT and MRI are described.

Conclusions

Prenatal MRI enables the diagnosis, delineates tumour extent and allows planned delivery. CT and MRI play a key role in differentiating neonatal nasopharyngeal teratomas from other causes of a neonatal neck mass, thus optimising management.
Literature
1.
go back to reference Azizkhan RG, Haase GM, Applebaum H, et al (1995) Diagnosis, management, and outcome of cervicofacial teratomas in neonates: a Childrens Cancer Group study. J Pediatr Surg 30:312–316PubMed Azizkhan RG, Haase GM, Applebaum H, et al (1995) Diagnosis, management, and outcome of cervicofacial teratomas in neonates: a Childrens Cancer Group study. J Pediatr Surg 30:312–316PubMed
2.
go back to reference Uchiyama M, Iwafuchi M, Naitoh S, et al (1995) A huge immature cervical teratoma in a newborn: report of a case. Surg Today 25:737–740PubMed Uchiyama M, Iwafuchi M, Naitoh S, et al (1995) A huge immature cervical teratoma in a newborn: report of a case. Surg Today 25:737–740PubMed
3.
go back to reference Elmasalme F, Giacomantonio M, Clarke KD, et al (2000) Congenital cervical teratoma in neonates. Case report and review. Eur J Pediatr Surg 10:252–257PubMed Elmasalme F, Giacomantonio M, Clarke KD, et al (2000) Congenital cervical teratoma in neonates. Case report and review. Eur J Pediatr Surg 10:252–257PubMed
4.
go back to reference April MM, Ward RF, Garelick JM (1998) Diagnosis, management, and follow-up of congenital head and neck teratomas. Laryngoscope 108:1398–1401PubMed April MM, Ward RF, Garelick JM (1998) Diagnosis, management, and follow-up of congenital head and neck teratomas. Laryngoscope 108:1398–1401PubMed
5.
go back to reference Judd MJ (2000) Congenital cervical teratoma with pressure deformity of the trachea. J Otolaryngol 29:188–190PubMed Judd MJ (2000) Congenital cervical teratoma with pressure deformity of the trachea. J Otolaryngol 29:188–190PubMed
6.
go back to reference Carr MM, Thorner P, Phillips JH (1997) Congenital teratomas of the head and neck. J Otolaryngol 26:246–252PubMed Carr MM, Thorner P, Phillips JH (1997) Congenital teratomas of the head and neck. J Otolaryngol 26:246–252PubMed
7.
go back to reference Green JS, Dickinson FL, Rickett A, et al (1998) MRI in the assessment of a newborn with cervical teratoma. Pediatr Radiol 28:709–710CrossRefPubMed Green JS, Dickinson FL, Rickett A, et al (1998) MRI in the assessment of a newborn with cervical teratoma. Pediatr Radiol 28:709–710CrossRefPubMed
8.
9.
go back to reference Howell CG, Van Tassel P, EI Gammal T (1984) High resolution computed tomography in neonatal nasopharyngeal teratoma. J Comput Assist Tomogr 8:1171–1181 Howell CG, Van Tassel P, EI Gammal T (1984) High resolution computed tomography in neonatal nasopharyngeal teratoma. J Comput Assist Tomogr 8:1171–1181
10.
go back to reference De Vries EJ, Sekhar LN, Jones NF, et al (1988) Nasopharyngeal teratoma involving the temporal bone. Int J Pediatr Otolaryngol 16:167–173 De Vries EJ, Sekhar LN, Jones NF, et al (1988) Nasopharyngeal teratoma involving the temporal bone. Int J Pediatr Otolaryngol 16:167–173
11.
12.
go back to reference Scheraga JL, Wasenko JJ, Davis RL (1996) MR of intracranial extension of nasopharyngeal teratoma. AJNR 17:1494 Scheraga JL, Wasenko JJ, Davis RL (1996) MR of intracranial extension of nasopharyngeal teratoma. AJNR 17:1494
13.
go back to reference Montoya P, Fuentes JM, Montoya F, et al (1980) A case of intra- and extracranial development of a craniofacial teratoma. Excision during the neonatal period through a mixed cranio-facial approach (in French). Rev Stomatol Chir Maxillofac 81:52–57PubMed Montoya P, Fuentes JM, Montoya F, et al (1980) A case of intra- and extracranial development of a craniofacial teratoma. Excision during the neonatal period through a mixed cranio-facial approach (in French). Rev Stomatol Chir Maxillofac 81:52–57PubMed
Metadata
Title
Neonatal nasopharyngeal teratomas: cross sectional imaging features
Authors
Savvas Andronikou
S. Kumbla
A. Michelle Fink
Publication date
01-04-2003
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 4/2003
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-002-0862-9

Other articles of this Issue 4/2003

Pediatric Radiology 4/2003 Go to the issue