Title
An unusual tumour causing neonatal respiratory distress An unusual tumour causing neonatal respiratory distress
Author
Faculty/Department
Faculty of Medicine and Health Sciences
University Hospital Antwerp
Publication type
article
Publication
Subject
Human medicine
Source (journal)
B-ENT
Volume/pages
8(2012) :2 , p. 149-151
ISSN
1781-782X
ISI
000306620100013
Carrier
E
Target language
English (eng)
Affiliation
University of Antwerp
Abstract
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. Methodology: Fiber-endoscopic examination of the nasal cavity showed a pendulating mass in the nasopharynx. 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. 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.
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