Surgical Treatment of a Type IV Cystic Sacrococcygeal Teratoma with Intraspinal Extension Utilizing a Posterior-anterior-posterior Approach: a Case Report

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2018 Jan 26

PMID 29368306

Citations 6

Authors

Aaron Wessell

David S Hersh

Cheng-Ying Ho

Kimberly M Lumpkins

Mari L A Groves

Affiliations

Soon will be listed here.

Abstract

Type IV sacrococcygeal teratoma with intraspinal involvement is rare and to our knowledge has not been reported previously in the literature. The authors present the case of a 2-month-old infant with a type IV sacrococcygeal teratoma diagnosed on prenatal ultrasound. Postnatal MRI revealed intraspinal extension through an enlarged sacral neuroforamina on the right side. On surgical exploration, the authors discovered a dorsal cystic tumor involving the sacral spine that extended through an enlarged S4 foramen to a large presacral component. The tumor was successfully removed to achieve a complete en bloc surgical resection. The authors review the epidemiology, pathophysiology, and treatment of sacrococcygeal teratomas with intraspinal extension.

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