PMC3988610_01
25-year-old female with gravida 2 para 1 evaluated for polyhydraminos. Fetus was later diagnosed with oropharyngeal teratoma. Ultrasound image of fetal face in sagittal projection shows shadow from the hard palate (arrow) obscuring the pharyngeal mass.
JCIS-4-15-g002.jpg
PMC3988610_01_JCIS-4-15-g002.jpg
F1
Ultrasound evaluation of the fetus revealed no significant abnormalities [Figure 1].
25-year-old female with gravida 2 para 1 evaluated for polyhydraminos. Fetus was later diagnosed with oropharyngeal teratoma. Sagittal image of Fetal MRI at 34 weeks gestation shows well-defined mixed intensity lesion with cystic component measuring about 4.5 x 3.5 cm in oropharyngeal region (arrow).
JCIS-4-15-g003.jpg
PMC3988610_01_JCIS-4-15-g003.jpg
F2
Sagittal [Figure 2] and axial [Figure 3] images show well-defined mixed intensity lesion with cystic component measuring about 4.5 x 3.5 cm in the oropharyngeal region. No obvious sign of invasion of hard palate or nasopharynx was noted [Figure 2]. Large amount of amniotic fluid was seen [Figure 2]. The mandible appeared normal [Figure 2].
25-year-old female with gravida 2 para 1 evaluated for polyhydraminos. Fetus was later diagnosed with oropharyngeal teratoma. Axial image of Fetal MRI at 34 weeks of gestation shows well-defined mixed intensity lesion with cystic component measuring about 4.5 x 3.5 cm in oropharyngeal region (arrow).
JCIS-4-15-g004.jpg
PMC3988610_01_JCIS-4-15-g004.jpg
F3
Sagittal [Figure 2] and axial [Figure 3] images show well-defined mixed intensity lesion with cystic component measuring about 4.5 x 3.5 cm in the oropharyngeal region.
PMC3988610_02
25-year-old female with gravida 2 para 1 evaluated for polyhydraminos. Fetus was diagnosed with oropharyngeal teratoma. Photograph during surgery shows the tumor mass (arrow).
JCIS-4-15-g005.jpg
PMC3988610_02_JCIS-4-15-g005.jpg
F4
At surgery, well-defined lobulated tumor measuring about 4.5 x 3.4 cm arising from palate was resected [Figure 4] and sent for histopathology examination.
25-year-old female with gravida 2 para 1 evaluated for polyhydraminos. Fetus was diagnosed with oropharyngeal teratoma. Histopathology examination of the surgically removed mass shows mass composed of mature and immature elements of teratoma. Easiest immature element to identify is neuroepithelium with columnar cells forming rossettes and tubules (arrow). Tissue stained with hematoxylin and eosin, x40.
JCIS-4-15-g006.jpg
PMC3988610_02_JCIS-4-15-g006.jpg
F5
Histopathology report proved it as immature teratoma [Figures 5 and 6].
25-year-old female with gravida 2 para 1 evaluated for polyhydraminos. Fetus was diagnosed with oropharyngeal teratoma. Surgically removed mass stained with hematoxylin and eosin at x45 shows mature cartilaginous tissue (arrow).
JCIS-4-15-g007.jpg
PMC3988610_02_JCIS-4-15-g007.jpg
F6
Histopathology report proved it as immature teratoma [Figures 5 and 6].
25-year-old female with gravida 2 para 1 evaluated for polyhydraminos. Fetus was later diagnosed with oropharyngeal teratoma. PET CT image of the child, 6-months posttreatment shows metabolic activity in the tongue and adenoids are physiological. Soft palate (arrow), where the original tumor was resected is normal indicating no recurrence of tumor.
JCIS-4-15-g008.jpg
PMC3988610_02_JCIS-4-15-g008.jpg
F7
After 6 months, positron emission tomography - computed tomography [Figure 7] was done to rule any recurrence.