Benignes zystisches Teratom als Differentialdiagnose einer medianen Zungenfistel

Zusammenfassung

Teratome der Zunge sind seltene Tumoren der Mundhöhle. Der Fall eines zystischen Teratoms der Zunge mit Fistel zum Zungenrücken wird beschrieben. Teratome mit Anteilen ektodermaler, mesodermaler und endodermaler Strukturen stammen von versprengten primordialen Keimzellen während ihrer Wanderung im Rahmen der Embryogenese ab. Im Falle der Zunge soll das Teratom aus versprengten Zellen des Tuberculum impar während der vierten Woche der Gestation entstehen. Diagnostische Kriterien, differentialdiagnostische Überlegungen und therapeutische Möglichkeiten werden anhand eigener Erfahrungen und der Literatur erörtert.

Abstract

Teratoma of the tongue is a rare tumor of the oral cavity. The case of a benign cystic teratoma of the tongue with a fistula to the dorsum of the tongue is described here. Teratomas are composed of ectoderm, mesoderm and endoderm and arise as a result of displacement of primordial germ cells during their course of migration during embryogenesis. In the tongue, the teratoma may arise from misplaced cells from the tuberculum impar during the fourth week of gestation. Diagnostic criteria, differential diagnosis and possibilities for a treatment are discussed based on our experience and review of the literature.

Schlüsselwörter

Teratom der Zunge - Dermoid - Dermoidzyste

Key words

Teratoma of the tongue - Dermoid cyst

Literatur

• 1 Antoine F A, White J D, Heffner D K, Case C. Teratoma of the tongue: a case report and literature review.  Laryngoscope. 1985;  95 1262-1263
• 2 Ashley J V, Shafer A D. Teratoma of the tongue in a newborn.  Cleve Clin Q. 1983;  50 34-37
• 3 Batsakis J G, El-Naggar A K, Hicks M J. Epithelial choristomas and teratomas of the tongue.  Ann Otol Rhinol Laryngol. 1993;  102 567-569
• 4 Bras G, Butts D, Hoyte D A. Gliomatous teratoma of the tongue.  Cancer. 1969;  24 1045-1050
• 5 Ficek W, Bhargava R K, Kalani B P. Lingual teratoma.  Ind Pediatr. 1984;  21 175-176
• 6 Flom G S, Donovan T J, Landgraf J R. Congenital dermoid cyst of the anterior tongue.  Otolaryngol Head Neck Surg. 1989;  101 388-391
• 7 Giunta J L, Friedman A L, Karp R. Dermoid cyst of the tongue with sinus tract.  Oral Surg Oral Med Oral Pathol. 1982;  53 450-453
• 8 Greir D A, MacNerland R H. Benign teratoma of the tongue.  Ill Med J. 1967;  132 43-45
• 9 Lalwani A K, Engel T L. Teratoma of the tongue: a case report and review of the literature.  Int J Ped Otorhinolaryngol. 1992;  24 261-268
• 10 Mahour G H, Landing B H. Teratoma of the tongue in a newborn.  Cleve Clin J. 1978;  50 34-37
• 11 McMahon M J, Chescheir N C, Wells S R, Nakayama D K. Perinatal management of a lingual teratoma.  Obstet Gynecol. 1996;  87 848-851
• 12 Meyer I. Dermoid cysts (dermoid) of the floor of the mouth.  Oral Surg. 1955;  8 1149
• 13 Miller A P, Owens J B. Teratoma of the tongue.  Cancer. 1966;  19 1583-1586
• 14 New G B, Erich J B. Dermoid cysts of head and neck.  Surg Gynaecol Obstet. 1937;  65 48-55
• 15 Norris H J, Zirkin H J, Benson W L. Immature (malignant) teratoma of the ovary: a clinical and pathologic study of 58 cases.  Cancer. 1976;  37 2359-2372
• 16 Rodin A E, Singla P. Teratoma of the tongue present at birth.  Ped Pathol. 1985;  3 291-298
• 17 Shaari C M, Ho B T, Shah K, Biller H F. Lingual dermoid cyst.  Otolaryngol Head Neck Surg. 1995;  112 476-478
• 18 Shafer W G, Hine M K, Levy B M. A Textbook of Oral Pathology. WB Saunders, Philadelphia 1974; 75 und 280-282
• 19 Tanimura F, Tachibana M, Dejima K, Sonoda T, Ono T, Mizukoshi O. Teratoma of the soft palate with multifocal cyst formation in the tongue and the brain.  Arch Otorhinolaryngol. 1986;  243 320-323
• 20 Tumushime-Buturo C G, Nkanza N K. Glial teratoma thought to be a lingual thyroid.  J Laryngol Otol. 1989;  103 620-621
• 21 Uchida K, Urata H, Suzuki H. Teratoma of the tongue in neonates: report of a case and review of the literature.  Pediatr Surg Int. 1998;  14 79-81