Sacrococcygeal teratoma with intraspinal extension

We report a case series of two newborns with a sacrococcygeal teratoma (SCT) with intraspinal involvement. In one case, the SCT was detected prenatally and presented postnatally as a large mass of 8 × 10 × 10 cm. In the second case the prenatal ultrasound was unremarkable and the SCT presented postn...

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Main Authors: G. Frongia (Author), M. Kessler (Author), H. Bächli (Author), J. Kunz (Author), J.P. Schenk (Author), M. Elsässer (Author), B. Beedgen (Author), A. Mehrabi (Author), P. Günther (Author)
Format: Book
Published: Elsevier, 2020-01-01T00:00:00Z.
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Summary:We report a case series of two newborns with a sacrococcygeal teratoma (SCT) with intraspinal involvement. In one case, the SCT was detected prenatally and presented postnatally as a large mass of 8 × 10 × 10 cm. In the second case the prenatal ultrasound was unremarkable and the SCT presented postnatally as a rather flat one-sided gluteal mass. MRI diagnostics led to the diagnosis of extradural intraspinal involvement. In an interdisciplinary operation between pediatric surgeons and pediatric neurosurgeons a complete complications-free tumor resection was possible in both cases with a favorable postoperative course. Due to the complete resection and benign histology (Gonzales-Crussi grade 0 and 1 with exclusion of yolk sac tumor components), adjuvant measures such as chemotherapy were not necessary. At 4 months no morbidity or mortality occurred, micturition and defecation were unremarkable in both cases and neurological examinations were age appropriate. Keywords: Sacrococcygeal teratoma, Intraspinal, Surgery
Item Description:2213-5766
10.1016/j.epsc.2019.101340