Devascularization and staged resection of giant sacrococcygeal teratoma in the premature infant

Robertson, Frank; Crombleholme, Timothy M.; Frantz, Ivan D.; Shephard, Barbara; Bianchi, Diana W.; D’Alton, Mary E.

doi:10.1016/0022-3468(95)90579-0

Cited by 34 publications

(20 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…b Selective post embolization injection of the left internal iliac artery shows a paucity of vascularity in the tumor consistent with thrombosis of the targeted vessels 5 of 21 fetuses that came to delivery died of complications related to hemorrhage from the teratoma [13]. When planning the operative resection of this type of tumor, some authors have described the isolation of the tumor feeding vessels (aorta, middle sacral artery) in the abdomen and pelvis via a limited, low laparotomy in order to obtain vascular control [4][5][6]. This approach is felt to provide safety during the resection.…”

Section: Discussionmentioning

confidence: 97%

“…When discovered in the newborn, safe, complete excision of this tumor during the neonatal period is considered the treatment of choice for SCT. These tumors do have the potential to be fatal especially when they are large and highly vascular [1][2][3][4][5][6]. In these cases, death is usually attributed to either uncontrollable hemorrhage or to congestive heart failure with fetal hydrops.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preoperative angiography with embolization and radiofrequency ablation as novel adjuncts to safe surgical resection of a large, vascular sacrococcygeal teratoma

et al. 2006

View full text Add to dashboard Cite

Sacrococcygeal teratomas (SCTs) can present a challenging problem and can be associated with significant perinatal morbidity and mortality. A female child was born at 36 weeks' gestation with a large, vascular Type 1 SCT originally identified by prenatal ultrasound. A CT scan showed two large feeding vessels arising from both internal iliac arteries that were successfully embolized during angiography. A radiofrequency probe was then used to ablate a zone between normal tissue and the tumor. The SCT was subsequently surgically excised with minimal blood loss. This case is presented to illustrate two useful and previously unreported postnatal adjuncts to the surgical treatment of massive, hypervascular sacrococcygeal tumors.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Preoperative angiography with embolization and radiofrequency ablation as novel adjuncts to safe surgical resection of a large, vascular sacrococcygeal teratoma

et al. 2006

View full text Add to dashboard Cite

show abstract

“…The aim of terminating profuse bleeding from the tumor usually requires control of the middle sacral arteries, which supply the SCT in the majority of cases. If the hemorrhage can be successfully stopped, further surgical options include devascularization and staged resection 13 or laparascopic clipping of the median sacral artery in huge SCTs. 14 We conclude that, although mortality is high in this selected subgroup of patients, every effort should be taken to optimize the perinatal management of these patients.…”

Section: Discussionmentioning

confidence: 99%

Fatal Rupture of a Sacrococcygeal Teratoma During Delivery

et al. 1999

View full text Add to dashboard Cite

“…Due to lung immaturity, increased tumor vascularity, and poor tolerance of blood loss, surgical risks are high [ 93 ]. In these patients, devascularization and staged resection may be considered to avoid excessive blood loss.…”

Section: Postnatal Interventionmentioning

confidence: 98%