Teratoma of the Tonsil

Blair, Olga M.; Sánchez, José Emilio Hernández

doi:10.1001/archotol.1969.00770020747012

Cited by 11 publications

(3 citation statements)

References 7 publications

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“…[8] Teratomata consist of poorly organized derivatives of three germ layers and generally affect infants. [89] Epignathus have a parasitic fetuse which is attached to the palate of autosite. They fill the oral cavity and protrude from the mouth causing respiratory obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…Although complete excision of a sacrococcygeal teratoma is required to prevent malignant degeneration, this may not appertain to the treatment of epignathus as there is no case on record of malignant dissemination. [9] Surgical excision may consist of an oral approach to excise the tumor at its base once intracranial extension has been ruled out. [13] Radical disfiguring surgery, which would result in impairment of speech and deglutition, is contraindicated in neonate.…”

Section: Discussionmentioning

confidence: 99%

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Giant epignathus with midline mandibular cleft: Insights in embryology and management

Prakash

Parelkar

Oak

et al. 2012

Ann Maxillofac Surg

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A congenital teratoid tumor arising and protruding through the mouth is classified as epignathus or fetus in fetu. On review of literature, we found various reports of midline mandibular and lower lip cleft associated with flexion contracture of neck, midline cervical cord, but there is only one report of association with midline dermoid. We present an unusual case of midline cleft of mandible with an epignathus. A 2.3-kg male child, delivered transvaginally in the 38th gestational week, was referred to us for management of a large irregular growth hanging outside the mouth. On examination, he had a wide median cleft of the mandible with tongue adherent to the “V”-shaped defect in the area of lower lip. A midline irregular mass of size 12 × 8 × 5 cm with variegated consistency was arising in the midline from the floor of the mouth between the tongue and lower lip. X-ray and computed tomography scan showed a rounded soft tissue mass arising from the alveolus with multiple calcifications within it along with a large triangular calcification and absence of hyoid bone. The mass was excised by mobilizing the tip of tongue. Staged repair was planned for the defect in the mandible. Unfortunately, the baby succumbed postoperatively to complex congenital heart disease. Histopathology was suggestive of epignathus. We discuss hereby the embryology and current management strategies of the problem.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Giant epignathus with midline mandibular cleft: Insights in embryology and management

Prakash

Parelkar

Oak

et al. 2012

Ann Maxillofac Surg

View full text Add to dashboard Cite

show abstract

“…Malignant teratomas of the nasal cavity are rare, especially in the adult. In the upper respiratory tract they are seen somewhat more frequently in the nasopharynx (6,9,5,2) and oropliarynx (4). Only three cases are reported in the paranasal sinuses (7, 8,1).…”

Section: Introductionmentioning

confidence: 99%

Malignant teratoma of the nasal cavity

Petrovich

Wollman

Acquarelli

et al. 1977

Journal of Surgical Oncology

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A case of malignant teratoma of the nasal cavity in an adult is presented. Histologically, the tumor consisted of mesenchymal malignant structures in addition to entodermal and ectodermal malignant elements. Whereas surgical treatment of the primary tumor has been generally considered preferred, this patient was given a full course of radiation therapy alone to the primary lesion. There is no clinical evidence of tumor 5 years following diagnosis. Three years following treatment of the primary tumor, neck lymph node metastasis appeared contralaterally. Management of this problem was with radical neck dissection followed by postoperative radiotherapy. Function of the eyes, nose, and paranasal sinuses remains normal. A review of the literature suggests that radiotherapy is of little value in the management of malignant teratomas. This case demonstrates an opposite point of view.

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The Pathology of Human Teratomas

Damjanov

1983

The Human Teratomas

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Teratoma of the Tonsil

Cited by 11 publications

References 7 publications

Giant epignathus with midline mandibular cleft: Insights in embryology and management

Giant epignathus with midline mandibular cleft: Insights in embryology and management

Malignant teratoma of the nasal cavity

The Pathology of Human Teratomas

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