Teratomas are composed of tissues derived from ectoderm, mesoderm, and endoderm. Sacrococcygeal teratomas are developed from the
totipotential cells of primitive knot which is a remnant of the primitive streak in the coccygeal region. With the incidence of 1/35000–1/40000 live
birth, sacrococcygeal teratoma is considered as the most common germ cell tumor in the neonatal period and infancy. Sacrococcygeal teratoma
shows female preponderance with male to female ratio 1:4 .
AIMS AND OBJECTIVES: To study clinical presentation and management of sacrocoocygeal teratoma in paediatric age group.
CASE REPORT: A seven year old child presented to our tertiary care hospital with a swelling of size 20 x 10 cm in sacrococcygeal region Which
was initially smaller in size about 6 X 3cm and have gradually progressed to the present size swelling was soft to rm in consistency, patient was
subject to MRI pelvis which was suggestive of solid cystic swelling in sacrococcygeal region of size 20 X 15 cm with maintained fat planes with
rectum and adjacent organs. Patients was subjected to surgery in which the teratoma was removed of size 20 x 15 cm along with coccygectomy was
done intraoperatively there was no involvement of rectum or other organs or pelvic walls. Child recovered well post operatively and the
histopathological report conrmed the diagnosis of sacrococcygeal teratomawith solid cytic compoments.
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