Fetal sacrococcygeal teratoma.

Abstract:

:Sacrococcygeal teratoma (SCT) is being diagnosed before birth with increasing frequency. We were recently consulted about management of a 22-week fetus with SCT and reviewed our experience (6 cases) and the literature. We found that most fetal SCT present from 22 to 34 weeks gestation with a uterus enlarged by the tumor and/or associated polyhydramnios; although the American Academy of Pediatrics Surgical Section clinical classification is an important prognostic indicator in neonatal SCT, it does not appear to predict outcome in fetal SCT; associated chromosomal abnormalities or life threatening anomalies are rare; presentation after 30-weeks gestation is a relatively good prognostic sign with fetal survival, after planned cesarean delivery, in 6 of 8 cases; and hydrops and/or placentomegaly in association with fetal SCT predicts fetal demise soon after diagnosis with 7 of 7 cases dying in utero.

journal_name

J Pediatr Surg

authors

Flake AW,Harrison MR,Adzick NS,Laberge JM,Warsof SL

doi

10.1016/s0022-3468(86)80404-3

subject

Has Abstract

pub_date

1986-07-01 00:00:00

pages

563-6

issue

7

eissn

0022-3468

issn

1531-5037

pii

S0022346886002257

journal_volume

21

pub_type

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