L. Perrelli, C. D'Urzo, C. Manzoni, C. Pintus, M. De Santis, L. Masini, G. Noia
Sacrococcygeal teratoma. Outcome and management. An analysis of 17 cases
Aims: The authors compare their experience of 17 cases
of sacrococcygeal teratoma (SCT) with the literature in
an attempt to clarify the natural history of this tumor and
to identify factors related to its prognosis and management.
Methods: The obstetrical, neonatal and surgical data
were analyzed for 17 cases of SCT observed between
July 1985 and December 1998.
Results: Three fetuses died in utero or shortly after
birth. In the remaining 14, the tumors were removed.
Twelve of the infants are currently tumor-free, with good
sphincter control and lower-limb function. The remaining
two died: one had a malignant tumor, and the other
had a recurrence of an embryonal carcinoma. Recurrent
tumors (mature histotypes) were also removed from two
of the 12 patients who survived.
Conclusions: Benign SCTs generally have favorable
prognosis. Negative prognostic factors for SCT include
solid tumors, those detected early in pregnancy, malignant
histotypes, polyhydramnios, placentomegaly, and
fetal hydrops.
Journal of Perinatal Medicine, Walter de Gruyter
Print ISSN: 1619-3997
Volume: 30, 04/2002
Pages: 179 - 184
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