Congenital-infantile fibrosarcoma masquerading as sacrococcygeal teratoma

Al-Salem, Ahmed H.

doi:10.1016/j.jpedsurg.2011.08.011

Cited by 14 publications

(11 citation statements)

References 15 publications

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“…[1,4] The lesions in the trunk are usually more aggressive and recurrence rates are high, especially when the excision is incomplete. Presentation in the sacral region has been reported by Al-Salem; [3] this is the only recorded occurrence in this location. Our patient presented in a similar fashion and we understandably made a misdiagnosis of sacrococcygeal teratoma.…”

Section: Discussionmentioning

confidence: 60%

“…[1] The varied pattern of presentation of this cancer can be deduced from the occasional case reports that have emanated from almost every continent. [2][3][4][5] Reports from sub-Saharan Africa are particularly rare. CIFS occurrence in the sacrococcygeal region mimicking a sacrococcygeal teratoma has been reported, [3] and such presentation is generally uncommon.…”

Section: Case Reportmentioning

confidence: 99%

“…[2][3][4][5] Reports from sub-Saharan Africa are particularly rare. CIFS occurrence in the sacrococcygeal region mimicking a sacrococcygeal teratoma has been reported, [3] and such presentation is generally uncommon. The poor predilection of the tumour for distant metastases may contribute to its above-average prognosis, but the rarity of systemic antenatal detection of congenital conditions in most parts of Africa may mitigate this good fortune.…”

Section: Case Reportmentioning

confidence: 99%

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Congenital infantile fibrosarcoma mimicking sacrococcygeal teratoma in a Ghanaian infant: A case report and review of the literature

Duduyemi

Yifieyeh

2016

S Afr J CH

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Section: Discussionmentioning

confidence: 60%

Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

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Congenital infantile fibrosarcoma mimicking sacrococcygeal teratoma in a Ghanaian infant: A case report and review of the literature

Duduyemi

Yifieyeh

2016

S Afr J CH

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“…A literature search on PubMed and Google unearthed several reports wherein sacrococcygeal teratomas have been mistaken for lesions such as hemangiomas,[11] meningomyeloceles,[1213] vertebral disc prolapse,[12] abscesses,[1214] fecal or perianal fistula,[12] cloaca, and fistula-in-ano or inguinal lymphadenitis. [12] The vice-versa is also true with lesions such as extraspinal sacrococcygeal ependymoma,[15] genitourinary plexiform neurofibroma[16] and congenital infantile fibrosarcoma[17] masquerading as sacrococcygeal teratoma.…”

Section: Discussionmentioning

confidence: 99%

Sacrococcygeal teratoma: Clinical characteristics, management, and long-term outcomes in a prospective study from a Tertiary Care Center

Yadav

Acharya

Bagga

et al. 2020

J Indian Assoc Pediatr Surg

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Introduction:The study focuses on the clinical presentation, management, and outcomes (both short term and long term) in patients with sacrococcygeal teratoma managed over a decade in a tertiary care center.Materials and Methods:This is a prospective study on children with sacrococcygeal teratoma over 12 years data collected included antenatal diagnosis, mode of delivery, age at diagnosis, clinical presentation, physical extent of mass (including Altman classification), levels of alpha-fetoprotein, surgical approach, histopathology, clinical outcome, recurrence and long-term results including bladder-bowel dysfunction and neurological impairment. Functional results were evaluated clinically and radiologically.Results:During the study, 41 patients (male to female ratio of 1:3.1) with a median age of 36 days (1 day–11.6 years) with sacrococcygeal teratoma were managed at our center. The mean follow-up duration was 54 months (range 19–110 months). Nearly, two-thirds of the tumors were either Altman Type 1 or 2. Yolk sac tumor was present in 8 (19.5%) patients, while the rest has either mature or immature teratoma. Tumors were removed through a posterior sagittal or a chevron incision. In seven patients, abdominosacral approach was necessary. Eight patients with malignant disease received chemotherapy (neoadjuvant in 5). Overall survival was 95% at a mean follow-up of 54 months. Among the late complications, three patients had a local recurrence of tumor, and urinary dribbling was present in three patients.Conclusions:Teratomas are the most common germ cell tumors of the sacrococcygeal region. Most of the tumors are benign, and the incidence of malignancy increases with age. The evaluation of malignancy is, therefore, necessary in these children. Excellent survival of 95% was achieved in this series. Morbidity due to associated malformation, disease recurrence, and treatment may persist in these patients; hence, proper follow-up is needed.

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“…Although only 100 cases were reported until 2009 in children, with ~ 40% present at birth, the entity has been diagnosed in the antenatal period [1, 3, 4]. Although the most common site of occurrence is in the distal extremities, rare locations such as lung, heart, tongue, chest wall, presacral region, and retroperitoneum have also been reported [5–9]. The congenital and adult types of infantile fibrosarcoma, although histologically similar, differ in their clinical presentation in that the adult type has a higher risk of recurrence, higher incidence of metastasis, and fairs poorly in the overall survival.…”

Section: Discussionmentioning

confidence: 99%

Cervical congenital infantile fibrosarcoma: a case report

et al. 2019

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Background Congenital infantile fibrosarcoma is a rare mesenchymal tumor seen in children as well as adults. The congenital variety is rare and out of the reported cases only one case sited in the neck has been reported so far. Another such case is presented here who was successfully managed. Case presentation A 3-month-old Hindu baby boy presented with a congenital neck swelling. The apparent clinical diagnosis was lympho-venous malformation. With a remote possibility of malignancy, an excisional biopsy was done. Histopathology revealed congenital infantile fibrosarcoma. Conclusion A successful excision of cervical congenital infantile fibrosarcoma has not been reported. This diagnosis should be kept as a possibility in all congenital cervical swellings. These are commonly misdiagnosed as lympho-venous malformations and histopathology is confirmatory.

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Congenital-infantile fibrosarcoma masquerading as sacrococcygeal teratoma

Cited by 14 publications

References 15 publications

Congenital infantile fibrosarcoma mimicking sacrococcygeal teratoma in a Ghanaian infant: A case report and review of the literature

Congenital infantile fibrosarcoma mimicking sacrococcygeal teratoma in a Ghanaian infant: A case report and review of the literature

Sacrococcygeal teratoma: Clinical characteristics, management, and long-term outcomes in a prospective study from a Tertiary Care Center

Cervical congenital infantile fibrosarcoma: a case report

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