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Post-auricular teratoma in an HIV-exposed newborn
Teratomas in the neonatal age group are mostly benign at first, and the common site is the sacrococcygeal region. They are rarely associated with HIV infection. We report a case of an HIV-exposed newborn with a congenital teratoma at the post-auricular site who developed an infection. Early interven...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906262/ https://www.ncbi.nlm.nih.gov/pubmed/36746517 http://dx.doi.org/10.1136/bcr-2022-252977 |
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author | Mpayo, Lucy Lawrence Nkya, Aslam Mawalla, Shabani Manji, Karim Premji |
author_facet | Mpayo, Lucy Lawrence Nkya, Aslam Mawalla, Shabani Manji, Karim Premji |
author_sort | Mpayo, Lucy Lawrence |
collection | PubMed |
description | Teratomas in the neonatal age group are mostly benign at first, and the common site is the sacrococcygeal region. They are rarely associated with HIV infection. We report a case of an HIV-exposed newborn with a congenital teratoma at the post-auricular site who developed an infection. Early intervention by total surgical resection will prevent complications such as infections and malignant transformation. A term baby was delivered spontaneously by an HIV-positive mother who was on her regular medications. Prenatal ultrasound carried out in the third trimester showed a cyst swelling on the right post-auricular region. Radiological imaging and the histopathological result revealed a congenital teratoma. A wide major excision with preservation of the facial nerve was performed at the age of 8 weeks. Post-auricular teratomas are the rarest anatomical location and the prevalence of malignant transformation from benign is very low. If left untreated, this tumour is associated with high mortality and malignant transformation rates. An early complete surgical excision allows a good result with a low risk of complications and recurrence. |
format | Online Article Text |
id | pubmed-9906262 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-99062622023-02-08 Post-auricular teratoma in an HIV-exposed newborn Mpayo, Lucy Lawrence Nkya, Aslam Mawalla, Shabani Manji, Karim Premji BMJ Case Rep Case Reports: Rare disease Teratomas in the neonatal age group are mostly benign at first, and the common site is the sacrococcygeal region. They are rarely associated with HIV infection. We report a case of an HIV-exposed newborn with a congenital teratoma at the post-auricular site who developed an infection. Early intervention by total surgical resection will prevent complications such as infections and malignant transformation. A term baby was delivered spontaneously by an HIV-positive mother who was on her regular medications. Prenatal ultrasound carried out in the third trimester showed a cyst swelling on the right post-auricular region. Radiological imaging and the histopathological result revealed a congenital teratoma. A wide major excision with preservation of the facial nerve was performed at the age of 8 weeks. Post-auricular teratomas are the rarest anatomical location and the prevalence of malignant transformation from benign is very low. If left untreated, this tumour is associated with high mortality and malignant transformation rates. An early complete surgical excision allows a good result with a low risk of complications and recurrence. BMJ Publishing Group 2023-02-06 /pmc/articles/PMC9906262/ /pubmed/36746517 http://dx.doi.org/10.1136/bcr-2022-252977 Text en © BMJ Publishing Group Limited 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Case Reports: Rare disease Mpayo, Lucy Lawrence Nkya, Aslam Mawalla, Shabani Manji, Karim Premji Post-auricular teratoma in an HIV-exposed newborn |
title | Post-auricular teratoma in an HIV-exposed newborn |
title_full | Post-auricular teratoma in an HIV-exposed newborn |
title_fullStr | Post-auricular teratoma in an HIV-exposed newborn |
title_full_unstemmed | Post-auricular teratoma in an HIV-exposed newborn |
title_short | Post-auricular teratoma in an HIV-exposed newborn |
title_sort | post-auricular teratoma in an hiv-exposed newborn |
topic | Case Reports: Rare disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906262/ https://www.ncbi.nlm.nih.gov/pubmed/36746517 http://dx.doi.org/10.1136/bcr-2022-252977 |
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