Massive orbital teratoma in the newborn.
Teratomas are rare germ cell tumors that comprise approximately 1% of orbital tumors in childhood. Review of the world literature revealed only 51 well-documented patients with true congenital orbital teratomas. We present a newborn girl with a massive orbital teratoma that caused significant orbital enlargement with inferior and lateral displacement of the zygoma and a thinning of the orbital roof. The ipsilateral maxilla and palate were depressed inferiorly. No bony invasion was seen despite its massive size. A craniofacial approach was used to safely and completely extirpate this tumor. Histological sections demonstrated derivatives of all three germ cell layers. Recommendations for definitive treatment and a review of the literature are presented.
Spinelli
H M
HM
Department of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, CT 06510.
Criscuolo
G R
GR
Tripps
M
M
Buckley
P J
PJ
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D009918:Orbital Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013724:Teratoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed