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Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report
- Source :
- Journal of Medical Case Reports, Vol 13, Iss 1, Pp 1-5 (2019), Journal of Medical Case Reports
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Background A giant congenital cervical teratoma is often highly vascularized; thus, in addition to a life-threatening airway occlusion at birth it comprises a high risk for significant and lethal blood loss during resection. In the case presented, an endovascular embolization of the carotid artery that supplied a giant congenital cervical teratoma was done as part of a three-stage treatment soon after birth and contributed to an overall good outcome. Embolization in cases of cervical teratomas was not described previously. Case presentation We present a case of a preterm newborn from a Sephardic jewish origin with a giant, highly vascularized, congenital cervical teratoma that was managed successfully in three stages: (1) delivery by an ex utero intrapartum treatment procedure after extensive preoperative planning and followed by tracheostomy, (2) endovascular embolization of the carotid artery that supplied the tumor in order to decrease blood loss during resection, and (3) complete surgical resection. The parents were involved in all the ethical and medical decisions, starting just after the cervical mass was diagnosed prenatally. Conclusion The management of giant congenital cervical teratoma is often challenging from both a medical and ethical prospective. Meticulous perinatal planning and parents’ involvement is crucial. Endovascular embolization of the tumor feeding vessels can significantly improve the resection outcome and overall prognosis.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
lcsh:Medicine
Case Report
030204 cardiovascular system & hematology
Resection
Congenital
03 medical and health sciences
Tracheostomy
0302 clinical medicine
Blood loss
Pregnancy
Surgical oncology
Prenatal Diagnosis
Intubation, Intratracheal
medicine
Humans
Embolization
Endovascular embolization
Ex utero intrapartum treatment
Preoperative planning
Cesarean Section
business.industry
lcsh:R
Infant, Newborn
Teratoma
General Medicine
Newborn
medicine.disease
Embolization, Therapeutic
Surgery
Airway Obstruction
Treatment Outcome
Head and Neck Neoplasms
In utero
030220 oncology & carcinogenesis
Female
Cervical
Treatment procedure
business
Subjects
Details
- ISSN :
- 17521947
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Journal of Medical Case Reports
- Accession number :
- edsair.doi.dedup.....b80afb3b10747982feb43fff7ed9cecc