Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection

AbouZeid, Amr Abdelhamid; Mohammad, Shaimaa Abdelsattar; Elsherbeny, Mohammed; Radwan, Nehal A.; El-Naggar, Osama

doi:10.21699/jns.v6i4.627

Cited by 5 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SCT is the most common congenital tumor of the neonatal period, with a reported incidence of 1 in 35,000-1 in 40,000 live This makes SCTs one of the most frequently diagnosed prenatal neoplasms [2,3]. We present a case of SCT diagnosed at 32 weeks of gestational age and associated with maternal gestational diabetes mellitus and polyhydramnios.…”

Section: Discussionmentioning

confidence: 98%

A rare case of sacroccocygeal teratoma type II with malignant yolk sac component

Syamala¹,

Lakshmi²,

Kushwah³

2024

Indian J Child Health

View full text Add to dashboard Cite

Sacrococcygeal teratoma (SCT) is one of the most common neoplasms diagnosed prenatally. Obstetric ultrasound plays a role in the diagnosis and management of these tumors during pregnancy. In this case report, we discuss the postnatal outcome and a multidisciplinary approach in a neonate with massive SCT and preterm delivery. A 36-year-old mother with a pregnancy complicated by gestational diabetes and polyhydramnios and a large mass in the sacrococcygeal region delivered a girl child at 35+4 weeks gestation by elective cesarean section following an in utero transport to our center. The teratoma, measuring 15×12 cm, was completely excised along with the coccyx and perineum postnatally on day 3 of life. As histopathology revealed a small cluster of pre-malignant yolk sac tissue, the infant is under the care of a hemato-oncologist. Multidisciplinary care including good obstetric practices with serial monitoring with ultrasonography, in utero transfer to a center with Level III Neonatal Intensive Care, and pediatric surgery services with good nursing care result in improved outcomes in these complexes prenatally diagnosed tumors.

show abstract

Section: Discussionmentioning

confidence: 98%

A rare case of sacroccocygeal teratoma type II with malignant yolk sac component

Syamala¹,

Lakshmi²,

Kushwah³

2024

Indian J Child Health

View full text Add to dashboard Cite

show abstract

“…More recently, there has been an increasing incidence in the antenatal diagnosis of SCT, and there are reports on the feasibility of fetal intervention in selected cases. [2,7] Cesarean delivery is advised to a mother whose fetuses harbor large SCTs (>10 cm diameter) with high vascularity and in tumors larger than 5 cm in order to prevent the risk of rupture and bleeding. [1] Altman et al defined the size as small (2-5 cm), moderate (5-10 cm), and large (>10 cm) diameter and also classified on the basis of the extent of tumor.…”

Section: Discussionmentioning

confidence: 99%

“…Sacrococcygeal teratoma (SCT) is the most common congenital tumor in the neonatal period including still birth with reported incidence ranging from 1 in 35,000 to 1 in 40,000 live births, and approximately 80% of affected infants are female. [1,2] Although their embryonic origin is still uncertain, they are believed to arise early in gestation from the totipotential cells of Hensen's node, a remnant of the primitive streak in the coccygeal region. SCT has tissues derived from ectoderm, mesoderm, and endoderm.…”

Section: Introductionmentioning

confidence: 99%

Giant Sacrococcygeal Teratoma in Neonate: A Case Report and Review of Literature

Meshram¹,

Nikila²,

Nagdive

2019

Indian Journal of Medical and Paediatric Oncology

View full text Add to dashboard Cite

Sacrococcygeal teratoma is considered the most common tumor in the neonatal period with a female-to-male ratio of 3–4:1. They are believed to arise early in gestation from the totipotential cells of Hensen’s node and the derived ectoderm, mesoderm, and endoderm. A 2.25 kg cesarean-delivered male, term neonate presented with large nonpulsatile, globular erythematous mass with lobulated surface and variable consistency. Magnetic resonance imaging of the lumbosacral spine showed multilocular cystic and solid lesion with foci of calcification and subtle communication with spinal canal. Histopathological examination showed mature endodermal, ectodermal, and mesenchymal elements such as cartilage, glial tissues, keratin cyst, and glandular elements with focus of primary neuroepithelial and pancreatic elements. Entire tumor was excised. The baby expired secondary to wound infection. Early diagnosis by improving antenatal care with timely surgical intervention and good nursing care improves the outcome.

show abstract

“…Cases of presacral tumours associated with anorectal anomalies and sacral bony defects (Currarino triad) were excluded [14]. Preoperative cross-sectional imaging (MRI or CT) was needed to detect the level of deep tumour extension [15,16]. Tumours with significant intrabdominal components (Altmann type III) would require a combined abdominoperineal approach (Fig.…”

Section: Methodsmentioning

confidence: 99%

Vertical wound closure following sacrococcygeal teratoma excision: an approachable aesthetic solution

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Sacrococcygeal teratoma is a rare tumour, usually presenting in the neonatal period. The benign nature of most tumours and the high survival rates would emphasise on the importance of both cosmetic and functional outcomes. We report on our extended experience with more cases concentrating on the aesthetic outcome of vertical wound closure following excision of large irregular sacrococcygeal tumours. The study included primary cases of sacrococcygeal teratoma who were referred to our surgical team for excision. Cases of presacral tumours associated with anorectal anomalies and sacral bony defects (Currarino triad) were excluded. In all cases, we planned for a vertical midline wound closure after tumour excision. The aesthetic outcomes are evaluated concerning the vertical midline scar, buttock’s contour, and position of the anus. Results In addition to twelve previously reported cases (during the period 2011 through 2016), we included another ten new consecutive cases operated during the period 2017 through 2021. Collectively, the study included 22 cases of sacrococcygeal teratoma that underwent vertical perineal wound closure after excision of the tumour. In 13 cases (those with relatively small or medium-sized tumours), the perineal wound was perfectly closed in the midline (well-hidden vertical scar in the natal cleft). For the rest of the cases (9 cases with large and/or irregular sacrococcygeal tumours), some modification was applied on the vertical linear mid-line skin closure to accommodate for skin redundancy and irregularity at the lower end of the wound, usually ending with an ‘inverted-Y’ skin closure Conclusion Vertical wound closure was always feasible after excision of sacrococcygeal teratomas. Even with large and irregular tumours, the vertical scar was perfectly or partially hidden within the natal cleft. Usually, there was adequate buttock development with minimal disturbance to the normal anal location within the perineum.

show abstract

Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection

Cited by 5 publications

References 17 publications

A rare case of sacroccocygeal teratoma type II with malignant yolk sac component

A rare case of sacroccocygeal teratoma type II with malignant yolk sac component

Giant Sacrococcygeal Teratoma in Neonate: A Case Report and Review of Literature

Vertical wound closure following sacrococcygeal teratoma excision: an approachable aesthetic solution

Contact Info

Product

Resources

About