Basic information
A 7-year-old male child, weighing 24 kg, presented with a painful
swelling on the left side of the face that increased rapidly in size 5
years ago. Results of the previously performed biopsy at Xiangya
Hospital revealed a confirmed YST diagnosis. The patient then underwent
six cycles of cisplatin, etoposide, and bleomycin (PEB) chemotherapy.
However, the facial swelling recurred after 3 years. The pathological
analysis was repeated (Figure 1), which revealed the same results as
before. Subsequently, four cycles of PEB/etoposide, ifosfamide, and
cisplatin chemotherapy were administered. Unfortunately, the facial
swelling reappeared after 4 months, and PEB chemotherapy and
radiotherapy were started. However, the size of the lesion did not
decrease (Figure 2). Hence, extended resection of the facial mass under
general anesthesia was planned.
Preoperative biochemical examination results, chest radiograph, and
electrocardiogram of the patient showed no apparent abnormalities.
Abdominal ultrasound examination for any abdominal mass or lymph nodes
showed normal findings. Preoperative evaluation of the patient revealed
restricted mouth opening (Mallampati classification IV), limited
receding of the head, and a short neck.