The management of prenatally diagnosed sacrococcygeal teratoma

Ikeda, Hitoshi; Okumura, Hiroyasu; Nagashima, Kanji; Shinozaki, Kei; Nagamachi, Yukio; Fukaishi, T; Ebara, Hirotaka; Sakaguchi, Masao

doi:10.1007/bf00179661

Cited by 7 publications

(4 citation statements)

References 8 publications

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“…Although we eould not show the exaet ineidenee of SCT among all the fetuses with severe obstetrieal presentation, in our institute, aetually, two stillborn babies with SCT were encountered during the study period. CS has been reeommended in the fetus with SCT after 32 weeks' gestation when fetallung maturity was obtained (14). The mean age of gestation of patients delivered by es in our series was 34 weeks.…”

Section: Discussionmentioning

confidence: 94%

“…Today, many SCTs are diagnosed by prenatal ultrasound. With progress in perinatal management and elective CS, the outeome ofthese patients has imprQved appreeiably (3,10,12,14,21,22,23). Indieations for es include tumor diameter greater than 8 em or the fetal head, signs of polyhydramnios, hydrops fetalis, rapid enlargement of mother's abdomen or fetal tumor, high-output syndrome, potential eapsule rupture, and hemorrhage into tumor.…”

Section: Discussionmentioning

confidence: 99%

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Sacrococcygeal Teratoma: A Series of 19 Cases with Long-Term Follow-Up

Uchiyama

Iwafuchi²,

Naitoh³

et al. 1999

Eur J Pediatr Surg

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A series of 19 cases of sacrococcygeal teratoma (SCT) with follow-up of 5 to 25 years is presented. Twelve patients were neonates, age 0 to 26 days (5 immature teratomas and 7 mature teratomas, representing 3, 6, 2, and 1 Altman's type I, II, III, and IV tumors, respectively), four were infants, age 1 to 6 months (all mature teratomas, representing 1, 1, and 2 Altman's type I, II, and IV tumors), and 3 were children, age 1 to 4 years (all malignant teratomas, all Altman's IV tumors). Eight babies were delivered by elective caesarean section (CS). Though the mean gestational age at CS was 34.3 weeks in our series, we now believe that CS often must be performed earlier, depending on a tumor size or fetal condition. Eleven neonates and 4 infants were operated upon using a sacral approach in 10 and an abdominosacral approach in 5, and all survived. However, 4 patients had neurogenic bladder and were treated by urinary catheterization or vesicostomy for 2 to 5 years after surgery. Postoperative urogenital sequelae are seen in patients with a large tumor, urethral compression, urinary retention, or edema of the lower body. Malignant tumors usually had metastasized by the time of diagnosis, but the prognosis for outcome has been improved following surgery and combination chemotherapy.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Sacrococcygeal Teratoma: A Series of 19 Cases with Long-Term Follow-Up

Uchiyama

Iwafuchi²,

Naitoh³

et al. 1999

Eur J Pediatr Surg

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“…Third, some larger tumours have probably grown rapidly during the last few weeks of pregnancy. For tumours diagnosed after 30 weeks, it has been advocated to perform Caesarean section in order to avoid dystocia, tumour rupture or haemorrhage, as soon as foetal lung maturity is deemed adequate for neonatal survival (6,9,11,15). This guideline has been followed strictly in our series, except in one case, where a large SCT was diagnosed at 30 weeks gestation, and where vaginal delivery took place at 35 weeks; the tumour measured 16 7 cm.…”

Section: Discussionmentioning

confidence: 98%

Sacrococcygeal Teratoma: Results of a Retrospective Multicentric Study in Belgium and Luxembourg

Backer¹,

Erpicum²,

Philippe³

et al. 2001

Eur J Pediatr Surg

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Eighteen patients, operated upon for sacrococcygeal teratoma in 7 different centres in Belgium and Luxembourg between 1992 and 1996, were reviewed. From an epidemiological point of view, this series compares very well to others. Although excellent results were obtained, with all patients surviving, some imperfection in diagnosis, timing of delivery and of operation, and in operative technique was observed. Therefore, it is stated that for optimal treatment of sacrococcygeal teratoma to be achieved, these cases should be treated in just a very few centres of neonatal surgery.

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“…Preterm babies with SCT who are delivered before 32 to 34 weeks seldom survive [1,2]. Risk of rupture and profuse bleeding before or during the ablative resection is increased in very large SCTs with diameters exceeding 10 cm [3].…”

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confidence: 98%