Congenital Immature Orbital Teratoma with Sarcomatous Transformation Presenting as Exophthalmos: A case report

Authors

  • Gregório Andreassa Soares
  • Samya Hamad Mehanna
  • Júlia Costa Linhares

DOI:

https://doi.org/10.52783/jns.v14.1605

Keywords:

Surgical Oncology, Orbital Neoplasms, Teratomas, Immature

Abstract

Background

Congenital immature orbital teratomas are rare neoplasms, with intraorbital cases presenting unique diagnostic and therapeutic challenges.

Case presentation

This report presents a patient that exhibited rapid-growing right exophthalmos since birth. Imaging studies revealed a progressively expanding lesion in the right orbital cavity and optic nerve. Following partial resection and subsequent orbital exenteration, histopathological and immunohistochemical analyses confirmed the diagnosis of immature teratoma with sarcomatous transformation. The patient underwent chemotherapy and remains under surveillance with no signs of disease recurrence.

Conclusion

This case highlights the complexities associated with diagnosis and treatment of rare orbital teratomas, contributing valuably to the existing literature.

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References

Tsoutsanis PA, Charonis GC. Congenital orbital teratoma: a case report with preservation of the globe and 18 years of follow-up. BMC Ophthalmol. 2021 Dec 28;21(1):456. doi: 10.1186/s12886-021-02229-2. PMID: 34963454; PMCID: PMC8715611.

Harms D, Zahn S, Göbel U, Schneider DT. Pathology and molecular biology of teratomas in childhood and adolescence. Klin Padiatr. 2006 Nov-Dec;218(6):296-302. doi: 10.1055/s-2006-942271. PMID: 17080330.

Barksdale EM Jr, Obokhare I. Teratomas in infants and children. Curr Opin Pediatr. 2009 Jun;21(3):344-9. doi: 10.1097/MOP.0b013e32832b41ee. PMID: 19417664.

Sohrabi C, Mathew G, Maria N, Kerwan A, Franchi T, Agha RA; Collaborators. The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines. Int J Surg. 2023 May 1;109(5):1136-1140. doi: 10.1097/JS9.0000000000000373.

Heerema-McKenney A, Harrison MR, Bratton B, Farrell J, Zaloudek C. Congenital teratoma: a clinicopathologic study of 22 fetal and neonatal tumors. Am J Surg Pathol. 2005 Jan;29(1):29-38. doi: 10.1097/01.pas.0000146006.46468.ef. PMID: 15613854.

Rao R, Honavar SG, Mulay K. Primary lacrimal gland teratoma in an adult: A clinicopathologic and radiological correlation. Indian J Ophthalmol. 2019 Jul;67(7):1238-1240. doi: 10.4103/ijo.IJO_1764_18. PMID: 31238481; PMCID: PMC6611252.

Rao R, Honavar SG, Mulay K. Primary lacrimal gland teratoma in an adult: A clinicopathologic and radiological correlation. Indian J Ophthalmol. 2019 Jul;67(7):1238-1240. doi: 10.4103/ijo.IJO_1764_18. PMID: 31238481; PMCID: PMC6611252.

Alkatan HM, AlObaidan OS, Kfoury H, Al-Faky YH. Orbital immature teratoma: A rare entity with diagnostic challenges. Saudi J Ophthalmol. 2018 Jan-Mar;32(1):75-78. doi: 10.1016/j.sjopt.2017.12.005. Epub 2018 Jan 11. PMID: 29755277; PMCID: PMC5944002.

Yang Z, Du L, Zhang H. Congenital orbital teratoma: A clinicopathologic case report. J Obstet Gynaecol Res. 2021 Jun;47(6):2225-2229. doi: 10.1111/jog.14744. Epub 2021 Mar 14. PMID: 33719103.

Dharmarajan H, Rouillard-Bazinet N, Chandy BM. Mature and immature pediatric head and neck teratomas: A 15-year review at a large tertiary center. Int J Pediatr Otorhinolaryngol. 2018 Feb;105:43-47. doi: 10.1016/j.ijporl.2017.11.031. Epub 2017 Dec 2. PMID: 29447817.

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Published

2025-02-07

How to Cite

1.
Andreassa Soares G, Hamad Mehanna S, Costa Linhares J. Congenital Immature Orbital Teratoma with Sarcomatous Transformation Presenting as Exophthalmos: A case report. J Neonatal Surg [Internet]. 2025Feb.7 [cited 2025Nov.2];14(1S):813-5. Available from: https://mail.jneonatalsurg.com/index.php/jns/article/view/1605