A congenital true teratoma with cleft lip, palate, and columellar sinus

J Craniofac Surg. 2007 Sep;18(5):1083-5. doi: 10.1097/scs.0b013e3181572637.


Teratomas, the most common extragonadal germ cell tumor of childhood, involve at least two of the ectodermal, mesodermal, and endodermal layers. Of the teratomas seen in the first 2 months of life, 82% are sacrococcygeal. The head and neck region is the second most common location for teratomas in early infancy, accounting for five (14%) of those cases. We describe a female neonate with a teratoma of the nasopharyngeal area, bilateral cleft palate/lip, and columellar sinus pathologies. The mass, which was 8 x 5 x 7 cm and soft in consistency, blocked the airway and prevented oral feeding. On macroscopic examination of the excised mass, there was a notable typical cilia arrangement and lower eyelid appearance. The patient, who was diagnosed with a well-differentiated teratoma after the pathologic examination, did not have any complications in the postoperative period.

Publication types

  • Case Reports

MeSH terms

  • Cleft Lip / complications*
  • Cleft Lip / surgery
  • Cleft Palate / complications*
  • Female
  • Humans
  • Infant, Newborn
  • Nasopharyngeal Neoplasms / congenital*
  • Nasopharyngeal Neoplasms / pathology
  • Nasopharyngeal Neoplasms / surgery
  • Teratoma / congenital*
  • Teratoma / pathology
  • Teratoma / surgery
  • Treatment Outcome