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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...

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Autores principales: Mpayo, Lucy Lawrence, Nkya, Aslam, Mawalla, Shabani, Manji, Karim Premji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
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.
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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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