M. Uchiyama et al., A HUGE IMMATURE CERVICAL TERATOMA IN A NEWBORN - REPORT OF A CASE, SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 25(8), 1995, pp. 737-740
A neonate with a large cervical mass was transferred to our hospital a
t 4 days of age. A computed tomography scan showed a contrast-enhanced
solid mass with multiple cystic elements and fine calcification. Ultr
asonography also revealed a predominantly solid mass with calcificatio
n, containing multiple cysts. These studies suggested a teratoma, but
could not rule out a hemangioma. The tumor was removed on the 12th day
of life. A pathological study revealed an immature teratoma that demo
nstrated fetal type cartilage and an immature neural tube. The operati
ve complete removal of a cervical teratoma in neonates is recommended
as soon as possible. The management of a pediatric cervical teratoma s
hould also be similar to that of a sacrococcygeal teratoma. The incide
nce of cervical teratoma in all pediatric teratomas ranges from 2.3%-9
.3% in the West, and from 1.6%-8.3% in Japan.