Abstract
Background: Teratoma originates from all three germinal layers and commonly found at the sacrococcygeal region. The orbit is an unusual site of occurrence, but they grow rapidly and cause massive proptosis. Case Presentation: A 9-day-old female neonate presented with marked unilateral proptosis of the right eye. Imaging workup gave a suspicion of a complex mass with internal hemorrhage or a teratoma. Modified exenteration was performed. Histopathological examination revealed mature cystic teratoma. Conclusion: Orbital teratoma presents with marked disfiguring proptosis in neonatal life. Prompt complete surgical excision is curative in the case of mature lesions.
Highlights
Teratomas are germ cell tumors containing derivatives of all germinal layers
Orbital teratoma presents with marked disfiguring proptosis in neonatal life
Prompt complete surgical excision is curative in case of mature lesions
Summary
Teratomas are germ cell tumors containing derivatives of all germinal layers. The most common sites of occurrence are sacrococcygeal regions and gonads, with a female preponderance.[1]. Conclusion: Orbital teratoma presents with marked disfiguring proptosis in neonatal life. Prompt complete surgical excision is curative in case of mature lesions. The tumor grows rapidly, causing destructive proptosis and exposure keratopathy within days.[5] This leads to poor prognosis for vision or conservation of the globe in addition to considerable disfigurement.
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