PDF(Pubmed)
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.
摘要：
颞下窝（ITF）肿瘤在儿童中很少见，可能会出现各种症状。畸胎瘤是来源于3个胚层的肿瘤,并且大约6%至10%在头部和颈部内。我们的研究讨论了儿科患者ITF中最早报道的畸胎瘤病例之一。一名3岁女孩每月反复出现2年的左眶周肿胀并伴有发烧，皮肤变色,和痛苦。先前的发作用抗生素治疗，但分辨率不完全。影像学显示在ITF中心的囊性病变。她接受了病变的鼻内镜活检，没有并发症。病理显示成熟的畸胎瘤主要由胰腺组织组成。提供者应考虑ITF肿瘤和对典型治疗无反应的眶周水肿等肿块的鉴别。
