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

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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“…[21] Modifications such as bowel preparation in the preoperative period have been claimed to be beneficial. [22]…”

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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Capítulo 1: Cirugía fetal: avances y esperanzas en medicina prenatal

Flores Mendoza,

Muchaypiña Torres,

Melgar Barrantes

et al. 2024

Gestión Del Conocimiento. Perspectiva Multidisciplinaria (Libro 69)

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El objetivo de este capítulo es explorar los avances en cirugía fetal, destacando su impacto en la calidad de vida de los fetos diagnosticados con malformaciones graves. Utilizando una metodología que combina una revisión exhaustiva de la literatura científica y estudios de caso en centros especializados, se analiza la efectividad de las intervenciones quirúrgicas prenatales en condiciones como la espina bífida y las anomalías congénitas. Los resultados demuestran que, aunque estas cirugías son complejas y conllevan riesgos significativos, pueden prevenir discapacidades graves y mejorar las posibilidades de supervivencia del feto. Además, los avances tecnológicos han permitido procedimientos menos invasivos y más seguros. La conclusión subraya la importancia de un enfoque multidisciplinario y la necesidad de un mayor acceso a estas innovaciones para ofrecer esperanza a las familias afectadas. Este capítulo pone de relieve el potencial transformador de la cirugía fetal en la medicina prenatal moderna, desde una perspectiva humanizadora y ética.

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

Cited by 2 publications

References 34 publications

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

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

Capítulo 1: Cirugía fetal: avances y esperanzas en medicina prenatal

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