DOI: http://dx.doi.org/10.18203/2349-2902.isj20190841

Sacrococcygeal teratoma: a case report

Nilay Kumar, Avinash Kumar Sinha

Abstract


Teratomas are germ cell tumours composed of multiple types of cells derived from more than a single germ cell layer. The most common site of an extra gonadal teratoma is the sacrococcygeal region. We report a case of a 10-day-old female child with a large swelling in the sacrococcygeal region extending laterally into the buttocks. X-ray showed a large mass projecting from the lower pelvic region and delineate the extent of the tumour and the involvement of tissues. Image findings and clinical presentation led to the diagnosis of sacrococcygeal teratoma. Tumour was surgically excised with prior pre-anaesthetic checkup, post-operative period was uneventful. She was discharged with advice to come in follow-up surgical outpatient clinic. There was no evidence of tumour recurrence till 1 year of age. She had normal growth curve for her age with normal developmental milestones.


Keywords


Congenital tumour, Germ cell tumour, Sacrococcygeal teratoma

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References


Altman RP, Randolph JG, Lilly JR. Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973. J Pediatr Surg. 1974;9:389-98.

Sarin YK, Mahajan JK, Thambudorai R. Giant neonatal sacrococcygeal teratoma. Surg J North India. 1997;13:63-4.

Paramythiotis D, Papavramidis T, Michalopoulos A, Papadopoulos VN, Apostolidis S, Televantou D, et al. Chronic constipation due to presacral teratoma in a 36-year-old woman: a case report. J Med Case Rep. 2010;4:23.

Lee H. Sacrococcygeal Teratoma (SCT)" UCSF Fetal Treatment Center. https://fetus.ucsf.edu/sct. Accessed on 3 August 2018.

Isaacs H Jr. Perinatal (fetal and neonatal) germ cell tumors. J Pediatr Surg. 2004;39(7):1003-13.

Gucciardo L, Uyttebroek A, De Wever I, Renard M, Claus F, Devlieger R, et al. Prenatal assessment and management of sacrococcygeal teratoma. Prenat Diagn. 2011;31(7):678-88.

Victoria MiƱana I, Ruiz Company S. Teratomas in the Infancy. Arch Dom Pediatr. 1984;20(1):15-22.

Virchow R. About sakralgeschwulst of schliewener kindes. Klin Wochenschr. 1869;46:132.

Flake AW. Sacrococcygeal Teratoma". University of Pennsylvania School of Medicine, Center for Fetal Diagnosis and Therapy, Children's Hospital of Philadelphia, 2007. https://rarediseases.org/rare-diseases/sacrococcygeal-teratoma. Accessed on 3 August 2018.

Altman RP, Randolph JG, Lilly JR. Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973. J Pediatr Surg 1974;9:389-98.

Vital RM, de Santiago Valenzuela JM, de Lira Barraza RC. Sacrococcygeal teratoma: case report. Medwave 2015;15(4):e6137.