An unusual tumour causing neonatal respiratory distress

作者：Marien A; Maris M; Verbeke S; Creytens D; Verlooy J; Van Reempts P; Boudewyns A^*

来源：B-ENT, 2012, 8(2): 149-151.

• Neonate-nasopharynx-obstruction-neoplasms
• salivary gland anlage tumour

An unusual tumour causing neonatal respiratory distress. Problem: We present the case of a term neonate referred shortly after birth because of breathing and feeding difficulties. %26lt;br%26gt;Methodology: Fiber-endoscopic examination of the nasal cavity showed a pendulating mass in the nasopharynx. %26lt;br%26gt;Results: A complete surgical resection was performed and the baby recovered completely. Microscopic examination of the mass showed an overlying non-keratinized squamous cell lining with an atypical cell population in some fragments. Histological features were compatible with a high-grade epithelial tumour like a midline carcinoma, but a final diagnosis of a salivary gland anlage tumour was established. %26lt;br%26gt;Conclusion: Flexible fiber endoscopy is the method of choice for examining the nasal passages and oropharynx in neonates with respiratory distress. Congenital salivary gland anlage tumour is a rare cause of neonatal nasal obstruction; it is benign and complete excision results in a cure. Histologically, it may mimic a malignant tumour owing to the high mitotic index.

• 出版日期2012