Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection

Authors

  • Amr Abdelhamid Abouzeid Pediatric surgery department Faculty of medicine Ain-Shams university
  • Shaimaa Abdelsattar Mohammad Department of Radiodiagnosis Faculty of medicine Ain-Shams university
  • Mohammed Elsherbeny Pediatric surgery department Faculty of medicine Ain-Shams university
  • Nehal A Radwan Pathology department Faculty of medicine Ain-Shams university
  • Osama El-Naggar Pediatric surgery department Faculty of medicine Ain-Shams university

DOI:

https://doi.org/10.21699/jns.v6i4.627

Keywords:

Teratoma, MRI, Prognosis, Grading

Abstract

Purpose: to include the most relevant preoperative imaging features of sacrococcygeal teratoma (SCT) in a grading system that would provide guidance to surgeons during excision of such rare tumors.

Patients and Methods: The medical records of patients with SCT, who were managed at our hospital during the period 2009 through 2016, were retrospectively reviewed. Only cases of SCT with available preoperative cross-sectional imaging studies (MRI and/or CT scans) were included in the study. The preoperative imaging features were correlated to the operative and pathological findings.

Results: The study included 24 cases of SCT (20 females and 4 males). Their age at presentation ranged from day one to 36 months. The following were identified as relevant preoperative imaging features to be included in our proposed grading system: tumor size, level of deep extension of the tumor, and tumor consistency. Among predominantly cystic SCT, a special subtype C3 could be identified with its characteristic irregular internal cyst wall thickening caused by the in-growth of solid tumor component. These cases were always associated with

immature pathology. Conclusion: MRI is a useful modality in the preoperative assessment of cases of SCT by providing a grading system that can indicate for the prognosis and degree of expected surgical challenge.

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Published

2017-10-08

How to Cite

1.
Abouzeid AA, Mohammad SA, Elsherbeny M, Radwan NA, El-Naggar O. Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection. J Neonatal Surg [Internet]. 2017Oct.8 [cited 2025Feb.14];6(4):75. Available from: https://jneonatalsurg.com/index.php/jns/article/view/404