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Cervico-thoracic teratoma masquerading as lymphatic malformation

Published online by Cambridge University Press:  26 July 2006

M F Bhutta ,
H-Y Ching  and
B E J Hartley
M F Bhutta
Affiliation:
Department of Paediatric ENT, Great Ormond Street Hospital for Children, London, UK
H-Y Ching
Affiliation:
Department of Paediatric ENT, Great Ormond Street Hospital for Children, London, UK
B E J Hartley
Affiliation:
Department of Paediatric ENT, Great Ormond Street Hospital for Children, London, UK
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Abstract

A case is presented of a nine-month-old male infant who presented acutely with an anterior neck and mediastinum mass compressing the trachea. Radiological assessment by ultrasound, magnetic resonance imaging and computed tomography suggested the nature of the mass to be a lymphatic malformation (cystic hygroma). The excised specimen was revealed as a mature teratoma. The inability to distinguish between lymphatic malformation and teratoma on multi-imaging modalities confers a risk of mismanaging these lesions with the use of sclerotherapy; surgical excision is the necessary treatment. The potential consequences are discussed.

Keywords

Lymphangioma, CysticTeratomaSclerotherapy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 11 , November 2006 , pp. 955 - 958
Copyright
2006 JLO (1984) Limited

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