A Rare Case of Sacrococcygeal Teratoma in Adult

Goyal, Abhilasha; Rathod, Praveen S.; Reddihalli, Pallavi V; Krishnappa, Shobha; Rajshekar, S. K.; Kansal, Yamini; Nuthalapati, Sravanthi; Singh, Amarinder; Vanakudri, Tejas; Karthik, S.

doi:10.1007/s13193-020-01047-0

Cited by 7 publications

(10 citation statements)

References 16 publications

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“…Altman classified sacrococcygeal teratomas (SCTs) into four types based on their location: type I, predominantly external tumors with minimal presacral component; type II, an external mass with a significant intrapelvic component; type III, an external mass with a predominant pelvic and abdominal component (most common type in adults); and type IV, a pre-sacral mass with no external presentation [8]. Based on histopathological features, SCTs are also classified into three categories: entirely mature adult-type tissue, immature, and malignant [1,4,9]. Malignant teratomas have malignant tissue of germ cell origin in addition to mature and/or embryonic tissues [9].…”

Section: Introductionmentioning

confidence: 99%

“…Based on histopathological features, SCTs are also classified into three categories: entirely mature adult-type tissue, immature, and malignant [1,4,9]. Malignant teratomas have malignant tissue of germ cell origin in addition to mature and/or embryonic tissues [9]. Most adults can be asymptomatic or present with pressure symptoms [6,9,10].…”

Section: Introductionmentioning

confidence: 99%

“…Malignant teratomas have malignant tissue of germ cell origin in addition to mature and/or embryonic tissues [9]. Most adults can be asymptomatic or present with pressure symptoms [6,9,10]. Symptoms of mass effect can result in constipation, pain in sacrococcygeal region, bladder dysfunction, venous engorgement of lower limbs and neurological symptoms [1,3,9,11].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Most adults can be asymptomatic or present with pressure symptoms [ 6 , 9 , 10 ]. Symptoms of mass effect can result in constipation, pain in sacrococcygeal region, bladder dysfunction, venous engorgement of lower limbs and neurological symptoms [ 1 , 3 , 9 , 11 ]. Intra-pelvic masses are common in adults, in contrast to neonates where more than 90% present as extra pelvic masses [ 1 , 3 , 4 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Adult case of giant sacrococcygeal teratoma: case report

et al. 2020

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Background Sacrococcygeal teratomas are tumors originating from pluripotent embryonic germ cell layers located in the fetal coccyx. These tumors are highly vascular if they undergo malignant transformation. Typically, they are found in infants and children and occasionally can be diagnosed prenatally. Adult cases are very rare, and represent tumors present since birth with delayed detection. Case presentation We describe a case of a giant sacrococcygeal teratoma in a 25 years old female college student presenting with right gluteal swelling of 4 months’ duration. In addition to the huge disfiguring mass on the perineal area, she also had lower abdominal pain, urinary complaints, and difficulty with ambulation. Discussion Pre-operative impression was of a sacrococcygeal mass and histopathology following complete surgical excision revealed a sacrococcygeal teratoma. She recovered well after surgery with no radiologic evidence of recurrence at six months. Conclusion Although rare, sacrococcygeal teratoma should be considered as a differential diagnosis for female adults presenting with perineal and/or pelvic masses. Complete surgical excision remains the mainstay of treatment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Adult case of giant sacrococcygeal teratoma: case report

et al. 2020

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Sacrococcygeal teratoma in an adult female patient—case report and review of literature

Alsahouri,

Alsalah,

Abufara

et al. 2024

Journal of Surgical Case Reports

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Sacrococcygeal teratoma (SCT) in adults is very rare with only a few cases documented in the literature, adult prevalence varies between 1 in 40 000 and 1 in 63 000. Most SCTs are located either mainly extra-pelvic (types I and II), which are more commonly seen in neonates; however, mainly intra-pelvic tumors (types III and IV) are more typical in adulthood. Extra-pelvic teratomas are extremely rare in adults. When SCT manifests in an adult, it appears as a slow-growing tumor without symptoms and usually manifests after becoming large enough to cause compression symptoms. SCT has a 1–2% probability of malignant transformation. Herein, we report a 20-year-old female, who was diagnosed with lower back swelling since childhood that increased in size over the last 2 months; imaging revealed an extra-pelvic mass. This case describes an atypical scenario for SCT, which was successfully managed with surgery. The histopathology report confirmed the diagnosis.

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Adult sacrococcygeal teratoma: A review

2022

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Sacrococcygeal teratomas (SCT) in adults are extremely rare, and most SCTs are located either mainly outside the pelvis, with a small number of intrapelvic components, or mostly in the pelvis (types III and IV). The etiology of teratomas remains unknown. Most teratomas are benign, and approximately 1 to 2% of teratomas undergo malignant transformation, including squamous cell carcinoma, adenocarcinoma, sarcoma, and other malignancies. Most SCTs grow insidiously, and their symptoms are not easily detected in the early stages. Some cases may only be discovered through physical examination or compression symptoms when the tumor reaches a detectable size. Computed tomography and magnetic resonance imaging have high detection rates for presacral space-occupying lesions and can provide imaging details with guiding significance for the selection of surgical methods. Surgical resection is the preferred treatment option for SCT and can determine the pathological type. Common sacrococcygeal malignancies are mainly immature teratomas and mature teratomas. When the presence of malignant components is confirmed, the treatment model should be adjusted according to pathological type.

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A Rare Case of Sacrococcygeal Teratoma in Adult

Cited by 7 publications

References 16 publications

Adult case of giant sacrococcygeal teratoma: case report

Adult case of giant sacrococcygeal teratoma: case report

Sacrococcygeal teratoma in an adult female patient—case report and review of literature

Adult sacrococcygeal teratoma: A review

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