An unusual tumour causing neonatal respiratory distress
A. Marien , M. Maris , S. Verbeke , D. Creytens , J. Verlooy , P. Van Reempts and A. Boudewyns
D epartment of Neonatology, Antwerp University Hospital, Belgium; D epartment of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Belgium; 3Department of Pathology, Antwerp University Hospital, Belgium; Department of Pediatrics, Antwerp University Hospital, Belgium
Neonate-nasopharynx-obstruction-neoplasms; salivary gland anlage tumour
149 - 151
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 diagno- sis 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.
Vol. 8, 2012, 2nd trimester

An unusual tumour causing neonatal respiratory distress