Congenital Cervical Teratoma: Report of a Case

先天性頸部畸胎瘤：病例報告

石敦義(Tune-Yie Shih)

《Formosan Journal of Surgery》 44卷3期 (2011/06) Pp. 117-120

https://doi.org/10.29833/FJS.201106.0006

摘要

先天性頸部畸胎瘤是一種罕見的新生兒疾病，雖然大多數是良性而且可以經由手術治癒，但它可能會壓迫胎兒呼吸道而導致生產過程中的缺氧，需要及早診斷及預防。我們報告一位三十三歲的孕婦，在懷孕第二十一週時經超音波診斷發現胎兒有頸部畸胎瘤，追蹤過程中腫瘤逐漸增大，但沒有出現氣道壓迫的現象，於第三十八週時以剖腹產順利產出。出生後第五天施行手術切除腫瘤，術後六個月嬰兒狀況良好，沒有腫瘤復發或其它後遺症。我們回顧文獻，強調評估胎兒氣道、團隊合作以及生產過程中確保呼吸道通暢的重要性。

並列摘要

Congenital cervical teratoma is a rare neoplasm of the newborn infants. Although most of the tumors are benign and curable by surgical excision, it brings about the risk of fetal airway obstruction and causes fetal anoxia if airway obstruction is undiscovered prenatally. We report a fetus bearing a large cervical teratoma, borne by a 33 year-old female. There was no polyhydramnios or fetal hydrops during the period of check up for pregnancy. The baby was delivered via a cesarean section at the 38th week of gestation. Surgical excision was performed on the 5th day after birth. The infant was in good condition after a six-month follow-up. The literature is reviewed and the importance of prevention of, and a close watch for, possible fetal airway obstruction, multidisciplinary team approach and proper intrapartum management is stressed.

並列關鍵字

congenital cervical teratoma ； fetal airway obstruction ； polyhydramnios ； multidisciplinary team approach