Teratomas are tumours that arise from all the three germ layers (ectoderm, mesoderm and endoderm). They form due to error in migration of germ cells. They can be mature and immature types. Mature teratomas are benign slow growing masses commonly encountered in sacrococcygeal region. Nasopharyngeal teratomas are relatively rare conditions. In new-borns nasopharyngeal teratomas can present with respiratory obstruction at birth, therefore it's important to diagnose them perinatally. In adults they can present with varying degree of nasal obstruction, Eustachian tube blockage, dysphagia etc. based on their size and location. In this case report, presentation of nasopharyngeal teratoma, differential diagnosis and management in adults has been discussed.
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