Title
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An unusual tumour causing neonatal respiratory distress
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Author
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Abstract
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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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Language
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English
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Source (journal)
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B-ENT / Royal Belgian Society for Ear, Nose, Throat, Head and Neck Surgery [Leuven] - Leuven, 2005, currens
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Publication
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Leuven
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Royal Belgian Society for Ear, Nose, Throat, Head and Neck Surgery
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2012
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ISSN
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1781-782X
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Volume/pages
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8
:2
(2012)
, p. 149-151
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ISI
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000306620100013
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Full text (publisher's version - intranet only)
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