© Borgis - New Medicine 4/2009, s. 100-101
A PHARYNGEAL TUMOUR IN A 13-DAY-OLD NEONATE – CASE REPORT
Department of Paediatric Otorhinolaryngology, Medical University of Warsaw, Poland
Head of Department: Prof. Mieczysław Chmielik, MD, PhD
A case of a pharyngeal tumour in a 13-day-old neonate was diagnosed. The asymptomatic tumour had been noticed by the parents in the oral cavity of their newborn child. The article describes the diagnostic and treatment of the lesion. Note that the patient was very young and the tumour was asymptomatic despite the lesion´s considerable size.
Tumorous lesions of the pharynx in neonates are rare. New-born children usually present with teratoma of the pharynx, less frequently with papilloma, cysts, angioma or fibroma. Malignant tumours that occur in neonates are rhabdomyosarcoma. Due to their localisation, pharyngeal tumours can cause swallowing problems and respiratory failure. Diagnostics consists of: history, paediatric and laryngological physical examination, laboratory tests (alphaphetoprotein, LDH, ferritin, basic examination), imaging examination: pharynx and neck ultrasound, CT, MRI, chest X-ray and ultrasound of the abdominal cavity in order to rule out tumorous lesions in other organs. Pharyngeal tumours are treated surgically, the resection is either curative or performed to obtain a sample for histological examination (in case of maiming surgery). In case of some malignant lesions, in order to reduce the tumour burden and the scope of the surgical intervention, chemotherapy is administered before a surgical intervention.
A 13-day-old girl W.B. (patient history number: 09-556; 10 points in the Apgar score, third pregnancy and second delivery, born through cesarean section) was admitted to the Clinic of Paediatric Laryngology on April 24th, 2009 due to a tumorous lesion in the oral cavity (Fig. 1). The lesion had been discovered by the parents when the patient had spitted up after feeding. The neonate hadn´t had any problems with suckling and swallowing and it had gained weight.
Fig. 1. The tumour in the oral cavity.
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Płatny dostęp do wszystkich zasobów Czytelni Medycznej
1. Postępy w rozpoznawaniu i leczeniu nowotworów u dzieci J.Brożek (red.). PZWL 1981. 2. Otolaryngologia dziecięca. M. Chmielik (red.) PZWL 2001. 3. Otolaryngologia dziecięca. D. Gryczyńska (red.). á-Medica Press 2007. 4. Patology of the Head and Neck Cardesa A. Slootweg P.J. Springer_Verlag Berlin-Heidelberg 2006. 5. Bielicka A, Zawadzka-Głos L, Chmielik M, and al.: Teratomas of the nasopharynx in children. A report of the of the three cases. New Medicine; No 3/2006.
Adres do korespondencji:
Klinika Otolaryngologii Dziecięcej WUM
00-576 Warszawa, ul. Marszałkowska 24
tel./fax: + 48 22 628 05 84
New Medicine 4/2009
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