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Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report
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...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409158/ https://www.ncbi.nlm.nih.gov/pubmed/30851737 http://dx.doi.org/10.1186/s13256-019-1976-0 |
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author | Hochwald, Ori Gil, Ziv Gordin, Arie Winer, Zeev Avrahami, Ron Abargel, Eitan Khoury, Asaad Lehavi, Amit Abecassis, Philippe Eldor, Liron Ben-Izhak, Ofer Borenstein-Levin, Liron Stienberg, Ran Kugelman, Amir |
author_facet | Hochwald, Ori Gil, Ziv Gordin, Arie Winer, Zeev Avrahami, Ron Abargel, Eitan Khoury, Asaad Lehavi, Amit Abecassis, Philippe Eldor, Liron Ben-Izhak, Ofer Borenstein-Levin, Liron Stienberg, Ran Kugelman, Amir |
author_sort | Hochwald, Ori |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6409158 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64091582019-03-21 Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report Hochwald, Ori Gil, Ziv Gordin, Arie Winer, Zeev Avrahami, Ron Abargel, Eitan Khoury, Asaad Lehavi, Amit Abecassis, Philippe Eldor, Liron Ben-Izhak, Ofer Borenstein-Levin, Liron Stienberg, Ran Kugelman, Amir J Med Case Rep Case Report 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. BioMed Central 2019-03-10 /pmc/articles/PMC6409158/ /pubmed/30851737 http://dx.doi.org/10.1186/s13256-019-1976-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Hochwald, Ori Gil, Ziv Gordin, Arie Winer, Zeev Avrahami, Ron Abargel, Eitan Khoury, Asaad Lehavi, Amit Abecassis, Philippe Eldor, Liron Ben-Izhak, Ofer Borenstein-Levin, Liron Stienberg, Ran Kugelman, Amir Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title | Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_full | Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_fullStr | Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_full_unstemmed | Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_short | Three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
title_sort | three-step management of a newborn with a giant, highly vascularized, cervical teratoma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409158/ https://www.ncbi.nlm.nih.gov/pubmed/30851737 http://dx.doi.org/10.1186/s13256-019-1976-0 |
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