Congenital vulvar teratoma in a newborn: A case report.

Giriş

Background: The most commen site of teratomas in neonates is in the sacrococcygeal region(%47). In the present study we report a congenital vulvar teratoma, which is a very unusual site in a newborn.

Olgu

A neonate with a vulvar mass was transferred to our hospital at her first day of life. A pedinculated spheric mass 5 cm in diameter, originating from the vulva with a pedicle, just below the clitoris and above the urethral opening was noticed. All the external genital structures, urethral and vaginal orifices were completely normal. Alpha-fetoprotein (AFP), and carcinoembryonic antigen(CEA)levels were also normal ( AFP: 0.02 ng/ml, CEA: 1.38ng/ml). A CT scan showed a 55x45x40mm pedinculated mass with calcifications passing through labia majora. All the other abdominal and pelvic structures were normal.

Bulgular

Tumor was resected at the fourth day of her life, and reconstruction of the clitoris and labia minora performed succesfully. Recovery wsa uneventful and she was discharged at the postoperative fifth day. She was completely normal six months after the operation. A pathologic study of the tumor revealed a mature teratoma that demonstrated intestinal and neural tissues and stratified squamous epithelium.

Sonuç

Congenital teratomas of the vulva are rare conditions seen in the newborn. Some other benign or malignant tumors of the vulva should also be in mind. Due to possible malignancy or recurrence, local resection of the tumor as much as possible is the treatment of choice.

Anahtar Kelimeler

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