Unilateral Periorbital Swelling in a Pediatric Patient.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Medicine Insights. Case Reports Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI:10.1177/11795476241255563

Ana Rosas Herrera, Ashley B Parker, Mark Chaskes, Frederic Askin, Aurelia S Monk, John R Stephens, Brian D Thorp, Charles S Ebert, Brent A Senior, Adam J Kimple, Keonho A Kong

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Abstract

Infratemporal fossa (ITF) tumors are rare in children and may present with a variety of symptoms. Teratomas are neoplasms derived from the 3 germ layers and approximately 6% to 10% are within the head and neck. Our study discusses one of the first reported cases of teratoma in the ITF in a pediatric patient. A 3-year-old girl presents with 2 years of recurrent monthly left periorbital swelling accompanied by fevers, skin discoloration, and pain. Prior episodes were treated with antibiotics with incomplete resolution. Imaging revealed a cystic lesion centered in the ITF. She was taken for endoscopic endonasal biopsy of the lesion and had no complications. Pathology revealed a mature teratoma composed primarily of pancreatic tissue. Providers should consider masses such as teratoma in the differential for ITF tumors and periorbital edema unresponsive to typical treatment.

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一名儿科患者的单侧眶周肿胀

颞下窝（ITF）肿瘤在儿童中很少见，可能会出现各种症状。畸胎瘤是源自三个胚层的肿瘤，约有 6% 至 10% 发生在头颈部。我们的研究讨论了首例报道的 ITF 儿童畸胎瘤病例。一名 3 岁女孩两年来每月反复出现左侧眶周肿胀，并伴有发热、皮肤变色和疼痛。之前曾用抗生素治疗，但效果不明显。影像学检查发现以 ITF 为中心的囊性病变。她接受了鼻内镜下病灶活检，没有出现并发症。病理结果显示这是一个主要由胰腺组织构成的成熟畸胎瘤。在鉴别 ITF 肿瘤和对一般治疗无效的眶周水肿时，医疗人员应考虑畸胎瘤等肿块。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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