exudates and Teratoma

Teratomas arising from the palate or pharynx may cause immediate life-threatening airway obstruction to the newborn. Early diagnosis via antenatal ultrasound enables the treating team to perform an ex utero intrapartum treatment (EXIT) procedure to secure an airway and perform subsequent tumour resection. We present the first EXIT procedure done in Malaysia. A 34 year old , gravida 4, para 3, her unborn child diagnosed at 24 weeks of gestation to have a large oropharyngeal mass. Upper airway obstruction was anticipated. Orchestration of multiple specialities was executed to properly plan and perform the EXIT procedure. The fetus was delivered at 33 weeks of gestation and managed to be intubated. The extraoral portion of the multilobular mass originating from the palate was resected. Complete resection of the intraoral teratoma was successfully done at day 22 of life.

Topics: Airway Obstruction; Humans; Malaysia; Teratoma

Extragonadal teratomas and germ cell tumours are uncommon. Most teratomas of the head and neck present in the paediatric age group. Occurrence of such tumours in an adult is extremely rare and, to date, less than 40 cases have been reported in the literature. We report a case of a young man presenting with impending airway obstruction secondary to a malignant teratoma of the neck.

Topics: Adult; Airway Obstruction; Biopsy, Needle; Chemotherapy, Adjuvant; Combined Modality Therapy; Follow-Up Studies; Head and Neck Neoplasms; Humans; Immunohistochemistry; Malaysia; Male; Risk Assessment; Teratoma; Tomography, X-Ray Computed; Treatment Outcome

The objective of this two year retrospective study is to find out the pattern of ovarian tumours among Malaysian women. A total of 280 cases were reviewed. Of these 193 were benign, 81 were malignant and six cases belonged to borderline malignancy. In the general population, equal distribution of serous and mucinous tumours among the benign (15.4%) and malignant (4.3%) types is quite a striking feature. The teratomas were the commonest benign tumour among the Malays and Chinese. Serous cystadenomas were the commonest among the Indians. The Malays had higher incidence of malignant epithelial tumours whereas the Chinese had a higher incidence of metastatic and germ cell tumours. Endometroid tumours occurred from an earlier age of thirty years. There was a preponderance of mucinous tumours among the borderline variety.

Topics: Adolescent; Adult; Aged; Carcinoma; Child; Child, Preschool; Female; Hospitals, General; Humans; Malaysia; Middle Aged; Neoplasms, Germ Cell and Embryonal; Ovarian Neoplasms; Retrospective Studies; Teratoma

A ten-year review revealed a similarity in the incidence of teratoma in relation to other childhood tumors in Malaysian as compared with Caucasian children. The most common sites of origin were the sacropcoccygeal, gonadal, and retroperitoneal areas. The reason for the high incidence of retroperitoneal tumor in our series as compared with other countries is not clear. Late presentation and poor followup are associated with poor prognosis.

Topics: Abdominal Neoplasms; Child; Child, Preschool; Epidemiologic Methods; Female; Humans; Infant; Infant, Newborn; Malaysia; Male; Mediastinal Neoplasms; Ovarian Neoplasms; Parotid Neoplasms; Retroperitoneal Neoplasms; Teratoma; Testicular Neoplasms