Sacrococcygeal Teratoma Presenting with Vaginal Discharge and Polyp in an Infant

Ladenhauf, Hannah N.; Brandtner, Martha Georgina; Schimke, Christa; Ardelean, Mircia-Aurel; Metzger, Roman

doi:10.1016/j.jpag.2017.12.004

Cited by 1 publication

(1 citation statement)

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“…In addition, the routine sonographic examination in the second trimester aids in diagnosing the tumor to prevent perinatal and neonatal complications such as fetal hydrops, tumor rupture, high output cardiac failure, and placentomegaly, which are associated with increased mortality rate 3 – 5 . Clinical signs and symptoms such as anal displacement with the tightness of the anal canal and constipation can occur due to tumor compression on the bladder or rectum 4 . In 1973, based on the intrapelvic/intra-abdominal extension of the tumor and its external component, Altman classified SCT into four types, according to the American Academy of Pediatric Surgical Section (AAPSS) 6 .…”

Section: Introductionmentioning

confidence: 99%

Giant sacrococcygeal teratoma in an infant: a case report with a literature review

Sabir,

Ahmed,

Hasan

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: A sacrococcygeal teratoma (SCT) is a rare embryonal tumor that emerges in the sacrococcygeal area. It affects one in every 35 000–40 000 live births. Herein, we report a case of a substantial SCT in a neonate. Case presentation: A neonate girl from consanguineous parents was delivered by cesarean section with a large mass (18×17 cm) in the sacrococcygeal area. The baby’s birth weight was 5 kg, of which 2.5 belonged to the mass. The vital signs were within normal ranges and she had weak movement with bluish peripheral limbs. Oxygen saturation was around 85% for a short period after birth. According to the American Academy of Pediatric Surgical Section, the tumor was type I. After the fifth day of delivery, a complete resection was done through a chevron incision. The patient was put on ‘nil by mouth’ for about 24 h and given intravenous fluid. Clinical discussion: The histopathological examination of the surgical specimen confirmed extragonadal immature teratoma. The histological classification of SCT is divided into three types: malignant teratomas (consisting of malignant germ cells); immature teratomas (incompletely differentiated structures with a high risk of malignancy or embryonal components); and mature teratomas (fully differentiated tissues). Conclusion: SCT has rarely been reported as a giant mass. Radiologic examinations in the early stages of pregnancy may be essential to the early diagnosis of the condition.

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