Familial presacral masses: Screening pitfalls.

Abstract:

BACKGROUND/PURPOSE:Anterior sacral meningocele (ASM) and presacral teratoma (PT) are related malformations. Both can have familial occurrence. Surgical treatment of occult cases is essential. Hence, it is important to screen the asymptomatic relatives. Plain radiograph of the sacrum to look for any bony abnormalities is the usual accepted screening modality. The authors report ASM and PT in siblings (with positive family history) with no sacrococcygeal bony abnormality on imaging. Both the siblings had presacral mass on imaging. METHODS:The medical records of 2 siblings with ASM and PT were reviewed for the clinical presentation, diagnostic workup, and family history. RESULTS:One sibling was symptomatic, whereas the other was completely asymptomatic. A family history of sacral bony abnormalities and anterior meningoceles was present in father, 2 paternal cousins, paternal uncle, paternal aunt, paternal grandmother, and paternal grand uncle. CONCLUSIONS:These case reports suggest that imaging for screening for ASM and PT should be directed at identifying the presacral mass rather than sacral bony defect. Hence, computed tomography or magnetic resonance imaging looking for presacral mass rather than plain radiograph should be the screening modality. J Pediatr Surg 36:1841-1844.

journal_name

J Pediatr Surg

authors

Singh SJ,Rao P,Stockton V,Resurreccion L 3rd,Cummins G

doi

10.1053/jpsu.2001.28860

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

1841-4

issue

12

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(01)63882-X

journal_volume

36

pub_type

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