Sacrococcygeal Teratoma

Raveenthiran, V

doi:10.47338/jns.v2.30

Cited by 4 publications

(2 citation statements)

References 8 publications

(8 reference statements)

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“…Distorted foetal abdomino-pelvic anatomy, with nerves and muscles being grossly stretched and effaced by the growing mass lesion, coupled with the impact of tumour resection, probably contribute to functional impairment (Figure 3 and 4). 13 Our study clearly shows that patients with higher Altman tumour stages are at a greater risk of developing functional problems and thus…”

Section: Discussionmentioning

confidence: 56%

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Sacrococcygeal teratoma: Long‐term outcomes. A UK CCLG Surgeons Group Nationwide Study

Braungart

James

Powis

et al. 2022

Pediatric Blood & Cancer

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Aim: Sacrococcygeal teratoma (SCT) is a rare paediatric germ cell tumour (1:40,000).Long-term data regarding urinary tract and bowel function after SCT resection is limited to few studies. A UK Children's Cancer and Leukaemia Group (CCLG) Surgeons multicentre study aimed to critically analyse long-term functional outcomes in patients following resection of SCT. Methods: Nationwide study of UK paediatric surgical oncology centres using a standardised data collection form. All index cases of newborn infants and children <16 years with SCT diagnosis during 2005-2015 were included. Results: 165 SCT patients treated at 14 UK paediatric surgical oncology centres were included. Median age at presentation was 1 day [interquartile range, IQR: 0-25]; median age at surgery was 10 days [IQR: 4-150]. One hundred seventeen (70%) were female and 48 (30%) male. Antenatal diagnosis was made in 44% index cases. Total 59% of patients were Altman Stage I or II lesions. Follow-up data were available in 83% cases. Tumour recurrence occurred in 13 (7%) patients at median age 13 months [IQR: 8.75-30 months]. Fifty-nine (36%) of 165 patients had documented adverse bladder or bowel dysfunction. Twenty-two (37%) cases required urinary clean intermittent catheterisation (CIC) urology health care, with eight patients (14%) needing operative intervention to control management of bowel dysfunction. Conclusion:This UK CCLG study showed 36% of SCT patients develop bladder or bowel dysfunction after primary tumour resection. Functional assessment of bladder and bowel function is mandatory during after-care follow-up of all SCT patients. A multidisciplinary care pathway, with surgeon speciality groups including surgical oncology, paediatric urology and paediatric colorectal specialists, is strongly advised to facilitate 'best practice' monitoring of long-term health and improve patient quality of life (QoL) into adulthood.

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Section: Discussionmentioning

confidence: 56%

“…Distorted foetal abdomino‐pelvic anatomy, with nerves and muscles being grossly stretched and effaced by the growing mass lesion, coupled with the impact of tumour resection, probably contribute to functional impairment (Figure 3 and 4). 13 …”

Section: Discussionmentioning

confidence: 99%

Sacrococcygeal teratoma: Long‐term outcomes. A UK CCLG Surgeons Group Nationwide Study

Braungart

James

Powis

et al. 2022

Pediatric Blood & Cancer

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Functional and aesthetic evaluation of sacrococcygeal teratomas. Not everything ends with surgery

Villamil

Vallejo

Fernández-Ibieta

et al. 2018

Anales de Pediatría (English Edition)

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Evaluación funcional y estética de los teratomas sacrococcígeos. No todo termina con la cirugía

Villamil

Vallejo

Fernández-Ibieta

et al. 2018

Anales de Pediatría

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The incidence of constipation does not differ from that found in the literature. Faecal incontinence is slightly improved compared to what has been published. However, urinary tract infections and incontinence are more prevalent in our series. Five patients out of the eight that responded suffered from psychosocial problems, according to DAS-59 questionnaire. Patients with SCT require urological, bowel, and psychological counselling, until they have a complete functional and emotional development.

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Sacrococcygeal Teratoma

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Cited by 4 publications

References 8 publications

Sacrococcygeal teratoma: Long‐term outcomes. A UK CCLG Surgeons Group Nationwide Study

Sacrococcygeal teratoma: Long‐term outcomes. A UK CCLG Surgeons Group Nationwide Study

Functional and aesthetic evaluation of sacrococcygeal teratomas. Not everything ends with surgery

Evaluación funcional y estética de los teratomas sacrococcígeos. No todo termina con la cirugía

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