Outcome of management of complicated extragonadal teratoma in a resource poor setting

Abdur-Rahman, LO; Baba, Suleiman; Bamigbola, K.T.; Olaoye, Iyiade; Oyinloye, AO; Nasir, AA; Adeniran, JO

doi:10.4103/0189-6725.125432

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…The approach could be through transabdominal, trans-perineal, trans-sacral, or combined abdomino-sacral routes [3,4,8,15]. Adjuvant or neoadjuvant radiotherapy or chemotherapy are known adjuncts to surgical excision, especially in malignant tumors [3][4][5]15,23]. Our patient had gross total en-bloc excision of the mass and overlying skin via a trans-sacral approach.…”

Section: Discussionmentioning

confidence: 99%

Sacrococcygeal teratoma in Nigerians: A case report and clinico-pathologic review

AK¹,

ME²,

KN³

et al. 2022

J Clin Images Med Case Rep

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Introduction: Sacrococcygeal Teratomas (SCTs) are rare childhood tumors, commonly seen in the neonatal period. The mainstay of their diagnosis is both clinical and radiological. Early gross-total surgical excision has the best prognostic outcome, especially for benign tumors. Case report: We present the case of a 12-year old girl with recurrent infected right gluteal benign SCT who was successfully managed in a secondary-level health facility in Nigeria. She has remained symptom-free with no recurrence four years post-surgery. We also reviewed the medical literature on SCT in Nigeria. Discussion: Our case report and others from Nigeria are consistent with the global trend on SCTs. They mostly occur within the first 15 years of life, with a bimodal peak in the first 4 years and at 8-11 years. 75-90% are benign, and the tumors often contain tissues from the three germ layers. Complete surgical excision is the treatment of choice. Conclusion: SCTs are rare tumors, but require early diagnosis and complete surgical excision to prevent malignant transformation. The case report draws attention to the need for a multi-institutional tumor registry in Nigeria and other sub-Saharan African countries. Keywords: sacrococcygeal teratoma; surgical excision; nigeria; literature review.

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Section: Discussionmentioning

confidence: 99%

Sacrococcygeal teratoma in Nigerians: A case report and clinico-pathologic review

AK¹,

ME²,

KN³

et al. 2022

J Clin Images Med Case Rep

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“…While the authors noted that most of the cases were degenerative in adult patients and that spondylotic spine disease did not occur in any of the patients aged less than 18 years, further details were not given on the profile of paediatric spinal neoplasms in their series. Two other case series documented the outcome of care in Nigerian paediatric patients with sacrococcygeal teratomas and extragonadal teratomas [17, 18]. Three case reports of spine tumours in children have been previously published in the Nigerian neurosurgical literature.…”

Section: Discussionmentioning

confidence: 99%

Paediatric Spinal Tumours: Profile and Treatment Outcome in a Nigerian Tertiary Institution

et al. 2021

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Introduction Paediatric spinal tumours are rare, accounting for 1-10% of all childhood central nervous system tumours. There is a paucity of information on spinal tumours in Sub-Saharan Africans. This is particularly so in the Nigerian paediatric population where neuro-oncologic data is limited. Indeed, there is no previously published work on the profile of paediatric spinal tumours in the Nigerian neurosurgical literature. The authors aim to document the profile of paediatric spinal tumours in a Nigerian tertiary institution and to contribute to the available data on paediatric central nervous system tumours in West Africa. Methods We retrospectively evaluated data on paediatric patients who underwent surgery for spine tumours over a 20-year-period at our institution. Results A total of 12 patients were managed for paediatric spine tumours during the study period. These had a male: female ratio of 1:1.4 and their ages ranged between 3 and 18 years (mean: 12.83 ± 4.75 years). The highest incidence (6/12) was seen in the 15-18 years age group. The mean duration of symptoms was 10.2 months. More than half (7/12) of the patients presented with symptoms with duration of at least 6 months. Motor deficit was present in all patients at presentation. Two-thirds of the tumours were in the thoracic region, 1 was located in the cervical region, while the remaining 3 tumours were cervicothoracic. The tumour was extradural in location in 8 of our patients and intramedullary in the remaining 4. Astrocytoma (intramedullary in all cases) was the most predominant histological tumour type in (3/12) in our series. Postoperative neurological improvement occurred in 7 of the patients while 5 remained the same. There was no permanent postoperative neurological deterioration or perioperative mortality. Conclusion Paediatric spinal tumours mostly affected older children in our study group and were predominantly astrocytic in nature. The most common tumour location was extradural, involving mostly the thoracic spinal level. The preoperative neurological status correlates with the postoperative functional outcome. Therefore, the need for early diagnosis and treatment of these tumours cannot overemphasized.

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Bladder Outlet Obstruction

Abdur-Rahman

Hitchcock²

2020

Pediatric Surgery

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Outcome of management of complicated extragonadal teratoma in a resource poor setting

Abstract: Delay presentation (due to local belief, ignorance and poverty) malnutrition, sepsis, malignant transformation characterised presentation of children in this study and the lack of paediatric intensive care unit facility and intensivists compromised survival of children with EXGT.

Cited by 4 publications

References 11 publications

Sacrococcygeal teratoma in Nigerians: A case report and clinico-pathologic review

Sacrococcygeal teratoma in Nigerians: A case report and clinico-pathologic review

Paediatric Spinal Tumours: Profile and Treatment Outcome in a Nigerian Tertiary Institution

Bladder Outlet Obstruction

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