Techniques available for the management of massive sacrococcygeal teratomas

Citation
T. Hase et al., Techniques available for the management of massive sacrococcygeal teratomas, PEDIAT SURG, 17(2-3), 2001, pp. 232-234
Citations number
12
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Pediatrics
Journal title
PEDIATRIC SURGERY INTERNATIONAL
ISSN journal
0179-0358 → ACNP
Volume
17
Issue
2-3
Year of publication
2001
Pages
232 - 234
Database
ISI
SICI code
0179-0358(200103)17:2-3<232:TAFTMO>2.0.ZU;2-4
Abstract
An infant born in the 34th week of gestation weighing 5,355 g with a massiv e sacrococcygeal (SC) tumor was delivered by elective cesarean section. An ultrasonographic examination showed solid and cystic components in the tumo r. Resection was successfully undertaken with insertion of a Nelaton cathet er into the rectum to avoid unnecessary impairment of the viscera. The tumo r weighed 2,380 g, measured 25 x 14 x 11 cm, and was clinicopathologically diagnosed to be a SC teratoma. This experience and other publications show that several considerations including control of hemorrhage and coagulopath ies, visceral protection, and avoidance of wound infection are necessary to facilitate the surgical management of massive SC tumors. Several suggestio ns are made concerning the pre- and intraoperative management of this rare tumor.