Surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globe

Background: Congenital orbital teratomas are rare and frequently diagnosed at birth or in infancy. Prenatal diagnosis allows for planned cesarean delivery, which may facilitate preservation of the neonate's eye. Case summary: A 34-year-old, G2P0102 was referred at 29 weeks gestational age for f...

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Main Authors: Tania Aziz, Christopher Mayer, Tara Lynch, Asha Rijhsinghani
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576620301998
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author Tania Aziz
Christopher Mayer
Tara Lynch
Asha Rijhsinghani
author_facet Tania Aziz
Christopher Mayer
Tara Lynch
Asha Rijhsinghani
author_sort Tania Aziz
collection DOAJ
description Background: Congenital orbital teratomas are rare and frequently diagnosed at birth or in infancy. Prenatal diagnosis allows for planned cesarean delivery, which may facilitate preservation of the neonate's eye. Case summary: A 34-year-old, G2P0102 was referred at 29 weeks gestational age for finding of an orbital mass on ultrasound. Ultrasound examination revealed an orbital mass measuring 4.4 × 4.1 × 4.8 cm in the left orbit, displacing the left eye anteriorly. Based on the ultrasound examination, the diagnosis of a benign teratoma of the left orbit was made.The neonate was delivered by a planned cesarean section. Immediate magnetic resonance imaging (MRI) and computerized tomography (CT) scans of neonate showed long bone formation in the mass, affirming our diagnosis. On day of life 1, the neonate underwent complete surgical resection of the tumor with pediatric neurosurgery and ophthalmology with preservation of the eye. Pathology of the mass was consistent with a benign teratoma. Conclusion: Prenatal diagnosis of congenital orbital teratomas with planned cesarean section may limit injury to the exposed orbit, which is beneficial for eye preservation later in life.
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spelling doaj.art-aa690061a98f47b38f4bd6e9cdac15af2022-12-22T00:02:38ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662020-09-0160101565Surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globeTania Aziz0Christopher Mayer1Tara Lynch2Asha Rijhsinghani3Corresponding author. Albany Medical Center, Department of Obstetrics and Gynecology, 319 Myrtle Ave, Albany, NY, 12208, USA.; Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Albany Medical Center, Albany, NY, 12208, USADivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Albany Medical Center, Albany, NY, 12208, USADivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Albany Medical Center, Albany, NY, 12208, USADivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Albany Medical Center, Albany, NY, 12208, USABackground: Congenital orbital teratomas are rare and frequently diagnosed at birth or in infancy. Prenatal diagnosis allows for planned cesarean delivery, which may facilitate preservation of the neonate's eye. Case summary: A 34-year-old, G2P0102 was referred at 29 weeks gestational age for finding of an orbital mass on ultrasound. Ultrasound examination revealed an orbital mass measuring 4.4 × 4.1 × 4.8 cm in the left orbit, displacing the left eye anteriorly. Based on the ultrasound examination, the diagnosis of a benign teratoma of the left orbit was made.The neonate was delivered by a planned cesarean section. Immediate magnetic resonance imaging (MRI) and computerized tomography (CT) scans of neonate showed long bone formation in the mass, affirming our diagnosis. On day of life 1, the neonate underwent complete surgical resection of the tumor with pediatric neurosurgery and ophthalmology with preservation of the eye. Pathology of the mass was consistent with a benign teratoma. Conclusion: Prenatal diagnosis of congenital orbital teratomas with planned cesarean section may limit injury to the exposed orbit, which is beneficial for eye preservation later in life.http://www.sciencedirect.com/science/article/pii/S2213576620301998CongenitalOrbitalTeratomaAntenatalUltrasoundFetal
spellingShingle Tania Aziz
Christopher Mayer
Tara Lynch
Asha Rijhsinghani
Surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globe
Journal of Pediatric Surgery Case Reports
Congenital
Orbital
Teratoma
Antenatal
Ultrasound
Fetal
title Surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globe
title_full Surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globe
title_fullStr Surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globe
title_full_unstemmed Surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globe
title_short Surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globe
title_sort surgical resection of antenatally diagnosed orbital teratoma resulting in preservation of the globe
topic Congenital
Orbital
Teratoma
Antenatal
Ultrasound
Fetal
url http://www.sciencedirect.com/science/article/pii/S2213576620301998
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AT christophermayer surgicalresectionofantenatallydiagnosedorbitalteratomaresultinginpreservationoftheglobe
AT taralynch surgicalresectionofantenatallydiagnosedorbitalteratomaresultinginpreservationoftheglobe
AT asharijhsinghani surgicalresectionofantenatallydiagnosedorbitalteratomaresultinginpreservationoftheglobe