Congenital orbital teratoma: A clinicopathologic case report

Aja Reinhold; Peter Meyer; Elisabeth Bruder; Jehuda Soleman; Nicolas von der Weid; Andreas Albert Mueller; Miodrag Savic

doi:10.1016/j.ajoc.2022.101420

Congenital orbital teratoma: A clinicopathologic case report

Am J Ophthalmol Case Rep. 2022 Feb 11:26:101420. doi: 10.1016/j.ajoc.2022.101420. eCollection 2022 Jun.

Authors

Aja Reinhold¹, Peter Meyer^{1

2}, Elisabeth Bruder², Jehuda Soleman³, Nicolas von der Weid⁴, Andreas Albert Mueller⁵, Miodrag Savic⁵

Affiliations

¹ Department of Ophthalmology, University Basel, Mittlere Strasse 91, 4056, Basel, Switzerland.
² Medical Genetics and Pathology, Hospital of the University of Basel, Schönbeinstrasse 49, 4003, Basel, Switzerland.
³ Department of Neurosurgery and Paediatric Neurosurgery, University Hospital and Children's University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
⁴ Department of Pediatric Hematology-Oncology, Children's University Hospital Basel, Spitalstrasse 33, 4056, Basel, Switzerland.
⁵ Department of Craniomaxillofacial Surgery, Hospital of the University Basel, Spitalstrasse 21, 4031, Basel, Switzerland.

Abstract

Purpose: Orbital teratoma can be removed in order to preserve the bulb.

Observations: Case report of a newborn with an orbital tumor. After spontaneous birth, a massive bulbus protrusion on the left side was observed. Magnetic Resonance Imaging (MRI) diagnosis showed an intraorbital cystic lesion containing solid parts and displacing the bulbus oculi. Suspecting a teratoma, primarily a cystic puncture was performed on the first day of life. On the 3rd day of life, cystic lesion was completely resected while preserving the bulbus. Histologically a mature cystic teratoma was observed.

Conclusion and importance: This case shows how important prenatal diagnostics is in order to plan the necessary birth preparations in advance and that a bulbus-preserving surgery in orbital teratoma is possible. In the absence of yolk-salk tumor it is associated with a good prognosis.

Keywords: Congenital tumor; Orbital tumor; Pathology; Teratoma.

Publication types

Case Reports