Sacrococcygeal teratoma: prenatal diagnosis and management.

Abstract:

:Although sacrococcygeal teratoma is a rare and potentially malignant tumor, 10 cases were documented during a 5-year period at the University of Toronto Perinatal Complex. Diagnosis was made in the six cases in which prenatal ultrasound examination was performed. One patient with twins elected to terminate the pregnancy at 19 weeks. In three of the cases diagnosed prenatally, serial ultrasound was performed. There was a 75% cesarean section rate. In all cases diagnosed prenatally, the large tumor size affected the mode of delivery. In the four cases without prenatal diagnosis, two infants were delivered vaginally, and two were delivered abdominally for obstetric reasons. There was one case of neonatal morbidity where tumor vascularity and rupture resulted in hypovolemic shock. All tumors were resected and found to be benign. A plan of management is recommended and, with appropriate obstetric and pediatric care, a good outcome can be anticipated in most cases.

journal_name

Am J Obstet Gynecol

authors

Gross SJ,Benzie RJ,Sermer M,Skidmore MB,Wilson SR

doi

10.1016/0002-9378(87)90290-0

subject

Has Abstract

pub_date

1987-02-01 00:00:00

pages

393-6

issue

2

eissn

0002-9378

issn

1097-6868

pii

0002-9378(87)90290-0

journal_volume

156

pub_type

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