Sacrococcygeal Teratoma : A Rare Entity

Abstract

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 conrmed the diagnosis of sacrococcygeal teratomawith solid cytic compoments.