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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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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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Alkatan HM, AlObaidan OS, Kfoury H, Al-Faky YH. Orbital immature teratoma: A rare entity with diagnostic challenges. Saudi J Ophthalmol 2018; 32:75-78. [PMID: 29755277 PMCID: PMC5944002 DOI: 10.1016/j.sjopt.2017.12.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2017] [Revised: 12/26/2017] [Accepted: 12/27/2017] [Indexed: 11/05/2022] Open
Abstract
Childhood orbital teratomas are congenital lesions that presents most often at birth with progressive, severe unilateral proptosis. Due to the rarity of such tumors, the diagnosis is often missed with delay in the patient's management. We are presenting a unique case of an immature right orbital teratoma with extensive growth in a full-term newly born baby boy. In this case report, we provide description of the clinical findings, initial misdiagnosis and the eventual management with review of similar reported cases.
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Affiliation(s)
- Hind M Alkatan
- Department of Ophthalmology, College of Medicine, King Saud University-Medical City, Riyadh, Saudi Arabia.,Department of Pathology, College of Medicine, King Saud University-Medical City, Riyadh, Saudi Arabia
| | | | - Hala Kfoury
- Department of Pathology, College of Medicine, King Saud University-Medical City, Riyadh, Saudi Arabia
| | - Yasser H Al-Faky
- Department of Ophthalmology, College of Medicine, King Saud University-Medical City, Riyadh, Saudi Arabia
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Recurrent Orbital Inflammation Mimicking Orbital Cellulitis Associated With Orbitopalpebral Venous Lymphatic Malformation. Ophthalmic Plast Reconstr Surg 2017; 33:e112-e114. [DOI: 10.1097/iop.0000000000000834] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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