Benign sacrococcygeal teratoma with spinal canal invasion and paraplegia

Kunisaki, Shaun M.; Maher, Cormac O.; Powelson, Ian A.; Gemmete, Joseph J.; Hirschl, Ronald B.; Mychaliska, George B.

doi:10.1016/j.jpedsurg.2011.05.013

Cited by 9 publications

(9 citation statements)

References 30 publications

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“…Our group has experience with a previous child who was born at full term with paraplegia due to tumor ingrowth into the spinal canal up to T12 [14] . This lesion was not prenatally diagnosed and postnatal resection did not improve the paraplegia.…”

Section: Discussionmentioning

confidence: 99%

Early Delivery of Sacrococcygeal Teratoma with Intraspinal Extension

Perrone

Jarboe

Maher³

et al. 2017

Fetal Diagn Ther

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Sacrococcygeal teratoma (SCT) with intraspinal extension is rare. There is a risk of paraplegia associated with prolonged spinal cord compression. We present the case of an infant with a prenatal diagnosis of an SCT with a large intraspinal component that was causing compression of the lower spinal cord. Ultrasound at 33 weeks showed bilateral lower extremity and foot movement without hydrops or cardiac failure. Multidisciplinary decision was made to administer betamethasone and proceed with Cesarean delivery at 34 weeks. A vigorous live-born female was delivered and a multilevel laminectomy was performed at day of life 4. The pelvic resection was performed at 4 months. Pathology revealed mature teratoma. She had an uncomplicated postoperative course, is ambulatory, continent of stool, and has no evidence of recurrence. We conclude that intraspinal extension of SCT should be evaluated prenatally with ultrasound and fetal MRI. If there is concern for spinal cord compression, early delivery and urgent decompressive laminectomy may diminish the neurologic sequelae of prolonged spinal cord compression. Since these cases are rare, risks of prematurity need to be weighed against the neurologic risks. These infants should be treated with a multidisciplinary approach.

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Section: Discussionmentioning

confidence: 99%

Early Delivery of Sacrococcygeal Teratoma with Intraspinal Extension

Perrone

Jarboe

Maher³

et al. 2017

Fetal Diagn Ther

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“…10 Early presentation of this disease in some patients can be with severe neurological deficits like paraplegia. Therefore, early diagnosis and management of these lesions is important for preventing neurological sequelae.…”

Section: Discussionmentioning

confidence: 99%

“…Most patients with intradural teratoma have a pure teratoma without an associated sacrococcygeal lesion. 10,[13][14][15][16] Permanent neurological deficits can be found in patients with intradural lipoma or intraspinal metastases of malignant SCTs. Sometimes early presentation of these kinds of tumors consists of deficits such as paraplegia and quadriplegia.…”

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confidence: 99%

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Sacrococcygeal teratoma with intradural extension: case report

Shahjouei¹,

Hanaei²,

Nejat³

et al. 2015

PED

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Intradural sacrococcygeal teratoma (SCT) is a rare entity that has been reported in only a few cases previously. The authors present the case of a 2-week-old, otherwise healthy neonate with a mass in the buttock. The imaging findings and the high level of serum alpha-fetoprotein were highly suggestive of SCT. On operation the authors found intradural extension of the teratoma. The lesion was managed successfully without any remaining sequelae. The authors briefly review the currently proposed etiology regarding teratoma formation and the intradural extension of SCT.

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“…Therefore, surgical excision of the tumor is the main treatment of this tumor. The extension of the tumor to the medullar canal is rare [2,3]. Only a few cases have been reported in the literature and physical examination in those cases can find a neurological deficit as paraplegia or can be normal.…”

Section: Background and Importancementioning

confidence: 99%

A Rare Case of Sacrococcygeal Teratoma With Medullar Invasion

2020

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Background and Importance: Sacrococcygeal Teratoma (SCT) with medular invasion is rare. Case Presentation: We report a case of an 11-month male infant, with no prenatal history of any abnormality, presenting since birth, a mass in the buttock extended to retrorectum associated with a right side hypotonic limb and monoplegia. Medullar and abdominal pelvic Magnetic Resonance Imaging (MRI) showed a sacrococcygeal tissue mass and intradural lumbosacral invasion with a high level of alpha-fetoprotein. Surgical excision was done successfully with an uneventful follow-up. Conclusion: Despite of the intradural invasion, those SCT are in major cases mature and present low risk of malignancy or recurrence.

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Benign sacrococcygeal teratoma with spinal canal invasion and paraplegia

Cited by 9 publications

References 30 publications

Early Delivery of Sacrococcygeal Teratoma with Intraspinal Extension

Early Delivery of Sacrococcygeal Teratoma with Intraspinal Extension

Sacrococcygeal teratoma with intradural extension: case report

A Rare Case of Sacrococcygeal Teratoma With Medullar Invasion

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