Follow-up and therapeutic approach in children with sacrococcygeal teratoma
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Tarih
2007
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Sacrococcygeal teratoma (SCT) is the most common solid tumor in neonates. In this study, we retrospectively reviewed 32 SCT patients who were treated and followed in our clinic between 1983 and 2006. Of all the patients, 13 were bigger than 12 months of age. Only 11 patients were present during the neonatal period. The presenting symptoms were sacral mass in 27 patients, difficulty voiding in 3, and difficult defecation in 2 patients. Pathological examination revealed mature teratoma in 17 patients, yolk sac tumor in 9, and immature teratoma in 6 patients. Of the patients who were diagnosed after 1 month of age, 43 % were found to have malignant tumor. Recurrence was observed in five patients during follow-up period; 4 were yolk sac and one was immature teratoma. Postoperative recurrence time was between 6 and 36 months. Two patients died intraoperatively due to massive bleeding, while the other four died due to metastases after chemotherapy. Early (antenatal) diagnosis, early and complete surgical resection of tumor with coccyx is important in reducing morbidity and mortality. Postoperative follow-up might include sacral examination and blood AFP level for at least 3 years in terms of tumor recurrence.
Açıklama
Anahtar Kelimeler
Child, Sacrococcygeal, Teratoma, Tumor
Kaynak
Cocuk Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
21
Sayı
2
