title: Massive orbital teratoma in the newborn.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, CT 06510.
authors.forename: H M
authors.initials: HM
authors.lastname: Spinelli
authors.forename: G R
authors.initials: GR
authors.lastname: Criscuolo
authors.forename: M
authors.initials: M
authors.lastname: Tripps
authors.forename: P J
authors.initials: PJ
authors.lastname: Buckley
mesh_terms: 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