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Yang Z, Du L, Zhang H. Congenital orbital teratoma: A clinicopathologic case report. J Obstet Gynaecol Res 2021; 47:2225-2229. [PMID: 33719103 DOI: 10.1111/jog.14744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 01/30/2021] [Accepted: 02/28/2021] [Indexed: 11/30/2022]
Abstract
Here we report an extremely rare case of immature congenital orbital teratoma. The ultrasound scan at the 28+1 week of gestation revealed a massive, solid, and cystic mass in the left orbital region of the fetus. The lesion site was confirmed by magnetic resonance imaging. Based on clinical examination and imaging, the diagnosis of orbital teratoma without intracranial extension was made. Histopathological examination further confirmed the diagnosis of immature teratoma. The clinical course, radiographic, and histopathological findings of this disease were also summarized.
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Affiliation(s)
- Zhifen Yang
- Department of Obstetrics and Gynecology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
| | - Lijia Du
- Department of Obstetrics and Gynecology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
| | - Huixin Zhang
- Department of Obstetrics and Gynecology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
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Chen X, Yang J, He G, Cheng C, Zhang C, Wang H, He L, Yang Z, Chen L, Zhao J. Orbital teratoma in the foetus: a rare case without proptosis. BMC Ophthalmol 2020; 20:415. [PMID: 33076862 PMCID: PMC7574247 DOI: 10.1186/s12886-020-01681-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Accepted: 10/05/2020] [Indexed: 11/15/2022] Open
Abstract
Background Congenital orbital teratoma is relatively rare, and few reports of prenatal ultrasound findings in such cases have been published. Case presentation A rare case of congenital orbital teratoma at 24 + 2 weeks of gestation was previously diagnosed as microphthalmia, noting how orbital teratoma without proptosis is different from microphthalmia, retinoblastoma and intracranial teratoma. Ultrasound examination, analysis of gross specimens, and histopathological evaluation confirmed the diagnosis of orbital teratoma. Conclusion Prenatal ultrasound examination is useful for diagnosis and differential diagnosis of congenital orbital teratoma.
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Affiliation(s)
- Xi Chen
- Department of Ultrasound, Sichuan Provincial Hospital for Women and Children, No.290 Sha Yan Xi Er Street, Chengdu City, Sichuan Province, China
| | - Jiaxiang Yang
- Department of Ultrasound, Sichuan Provincial Hospital for Women and Children, No.290 Sha Yan Xi Er Street, Chengdu City, Sichuan Province, China
| | - Guannan He
- Department of Ultrasound, Sichuan Provincial Hospital for Women and Children, No.290 Sha Yan Xi Er Street, Chengdu City, Sichuan Province, China
| | - Chunlan Cheng
- Department of Clinical Laboratory, Sichuan Provincial Hospital for Women and Children, Chengdu, Sichuan, China
| | - Chunguo Zhang
- Department of Ultrasound, Sichuan Provincial Hospital for Women and Children, No.290 Sha Yan Xi Er Street, Chengdu City, Sichuan Province, China
| | - Hongli Wang
- Department of Ultrasound, Sichuan Provincial Hospital for Women and Children, No.290 Sha Yan Xi Er Street, Chengdu City, Sichuan Province, China
| | - Lihong He
- Department of Ultrasound, Sichuan Provincial Hospital for Women and Children, No.290 Sha Yan Xi Er Street, Chengdu City, Sichuan Province, China
| | - Zhirong Yang
- Department of Pathology, Sichuan Provincial Hospital for Women and Children, Chengdu, Sichuan, China
| | - Li Chen
- Department of Pathology, People's Hospital of DeYang City, DeYang City, Sichuan, China
| | - Jing Zhao
- Department of Ultrasound, Sichuan Provincial Hospital for Women and Children, No.290 Sha Yan Xi Er Street, Chengdu City, Sichuan Province, China.
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Surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globe. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2020. [DOI: 10.1016/j.epsc.2020.101565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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di Pasquo E, Kuleva M, Sonigo P, Millischer AE, Bremond-Gignac D, Ville Y, Salomon LJ. Glial Periorbital Heterotopia: A Rare Type of Ocular Mass. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2020; 39:1491-1496. [PMID: 32118307 DOI: 10.1002/jum.15249] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Revised: 01/29/2020] [Accepted: 01/30/2020] [Indexed: 06/10/2023]
Abstract
Congenital orbital masses are rare disorders. A wide variety of lesions, including malignant and benign tumors, may develop around the orbit; hemangioma, lymphangioma, and optic nerve meningioma are the most common. Counseling for the prognosis and postnatal treatment depends on antenatal suspicion. Glial heterotopia should also be considered for the differential diagnosis. Integration of antenatal ultrasound and magnetic resonance imaging characteristics could help in the differential diagnosis. For the first time to our knowledge, a literature review on fetal orbital tumors was performed, along with a systematic description of imaging characteristics, treatment, and the prognosis.
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Affiliation(s)
- Elvira di Pasquo
- Department of Obstetrics and Gynecology, University of Parma, Parma, Italy
| | - Marina Kuleva
- Obstetrics and maternal-fetal Medicin, Hospital Necker Enfants Malades, APHP, University Paris Descartes, Paris, France
| | - Pascale Sonigo
- Departement of Pediatric Radiology, Hospital Necker Enfants Malades, APHP, University Paris Descartes, Paris, France
| | - Anne E Millischer
- Departement of Pediatric Radiology, Hospital Necker Enfants Malades, APHP, University Paris Descartes, Paris, France
| | - Dominique Bremond-Gignac
- Departement of Pediatric Ophtalmology, Hospital Necker Enfants Malades, APHP, University Paris Descartes, Paris, France
| | - Yves Ville
- Obstetrics and maternal-fetal Medicin, Hospital Necker Enfants Malades, APHP, University Paris Descartes, Paris, France
| | - Laurent J Salomon
- Obstetrics and maternal-fetal Medicin, Hospital Necker Enfants Malades, APHP, University Paris Descartes, Paris, France
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Prenatal Exophthalmia Revealing a Postnatal Orbital Teratoma. Case Rep Ophthalmol Med 2020; 2020:1597353. [PMID: 32765918 PMCID: PMC7374210 DOI: 10.1155/2020/1597353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 06/12/2020] [Accepted: 06/19/2020] [Indexed: 12/03/2022] Open
Abstract
Purpose Teratomas are congenital tumors of stem cells derived from the three germ layers. They are frequently located in the sacrococcygeal region. Orbital teratoma is rare with less than 70 cases reported until 2016. We report the case of prenatal exophthalmia discovered by ultrasound exam which turned out to be a teratoma postnatally. The newborn in our case was female, just as described in the literature. Treatment consisted of total removal of the teratoma and the eyeball. Reconstructive surgery remains a big challenge since our medical technology is limited. Conclusion A prenatal exophthalmia on fetal ultrasound should make us think of a teratoma, even if it is very rare. Fetal orbital teratoma may be associated with fetal survival. The infant will benefit from a reconstructive surgery of the orbit.
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