Prenatal Diagnosis of Sacrococcygeal Teratomas; Case Report
Year 2016,
Volume: 69 Issue: 1, 65 - 67, 03.06.2016
Tuncay Yüce
,
Müge Keskin
,
Mehmet Murat Seval
,
Acar Koç
Abstract
Sacrococcygeal teratomas are the most common tumors among newborns. Incidence of SCT ranges between 1/35 000 and 1/40 000. Not only the tumor’s vascularity but also the accompanying placentomegaly, polyhidramnios and fetal hidrops are the main predictors of fetal outcome. Here we describe our experience of a 22 weeks and 3 days pregnancy complicated with a fetal sacrococcygeal teratoma accompanied with cardiac sequale. In our case SCT was measured 80x78x72 mm (cranio caudal transverse x antero posterior) in size. After appropriate counselling pregnancy was terminated.
References
-
1.. R. Swamy, N. Embleton, J. Hale. Sacrococcygeal teratoma over two decades: birth prevalence, prenatal diagnosis and clinical outcomes. Prenat Diagn. 2008;28:1048–1051
-
2.E. Danzer, A.M. Hubbard, H.L. Hedrick. Diagnosis and characterization of fetal sacrococcygeal teratoma with prenatal MRI. AJR Am J Roentgenol. 2006;187:356
-
3. Akinkuotu A C, Coleman A, Shue E, et al. Predictors of poor prognosis in prenatally diagnosed sacrococcygeal teratoma: A multiinstitutional review. Journal of Pediatric Surgery 2015; 50:771–774.
-
4. Winderl LM, Silverman RK. Prenatal identification of a completely cystic internal sacrococcygeal teratoma (type IV). Ultrasound Obstet Gynecol 1997;9:425-428.
-
5. Gucciardo L, Uyttebroek A, De Wever I, et al. Prenatal assessment and management of sacrococcygeal teratoma. Prenat Diagn 2011;31:678-688.
-
6.Benachia A, Durinb L, Maurerc S V, et al. Prenatally diagnosed sacrococcygeal teratoma: a prognostic classification. Journal of Pediatric Surgery 2006; 41:1517–1521
-
7.Grigore M, Iliev G. Diagnosis of sacrococcygeal teratoma using two and three-dimensional ultrasonography: two cases reported. Med Ultrason 2014;16: 274-277
-
8. Shue E, Bolouri M, Jelin E B, et al. Tumor metrics and morphology predict poor prognosis in prenatally diagnosed sacrococcygeal teratoma: A 25-year experience at a single institution. Journal of Pediatric Surgery. 2013:48:1225–1231.
-
9.Yoneda A, Usui N, Taguchi T, et al. Impact of the histological type on the prognosis of patients with prenatally diagnosed sacrococcygeal teratomas: the results of a nationwide Japanese survey. Pediatr Surg Int. 2013:29:1119–1125.
-
10.Kafali H, Arkan Onaran Y, Keskin E, Sar U, Krbas . Ovarian vein thrombosis and mirror syndrome in association with sacroccygeal teratome. Clinics. 2010;65:452-455