Presentation of Four Surgical Cases in Sacrococcygeal Teratomas

Yıl 2025, Cilt: 7 Sayı: 1 , 190 - 199 , 25.04.2025

Serkan Erkan , Ramazan Gündoğdu , Murat Kuş

https://izlik.org/JA34SR39JD

Öz

Sacrococcygeal teratomas are extragonadal germ cell tumors that are more commonly found in newborns and infants. This study aims to underscore the importance of considering sacrococcygeal teratomas in the differential diagnosis of presacral mass lesions in adult patients. We retrospectively screened patients who underwent surgical treatment for teratomas between 2011 and 2020. Patients with extraregional sacrococcygeal teratomas, those younger than 18 years of age, and those with incomplete data were excluded from the study. Total excision was performed either through a perineal or abdominal approach, depending on the mass's location. We analyzed and recorded patient data, including age, gender, presenting complaints, MRI findings, Altman classifications, surgical techniques, pathological examination results, and follow-up outcomes. The study included four cases. Among them, three (75%) were female, and the overall average age was 39.5±15.5 years. Three patients presented with a palpable mass, while one patient complained of dysmenorrhea. According to the Altman classification, two patients were classified as Type 2, and two patients as Type 3. Three patients underwent posterior approach surgery, and one patient underwent an abdominal approach. Pathology results confirmed mature teratoma in all cases. No recurrence was observed in any patient during the follow-up period. This study highlights the possibility of encountering sacrococcygeal teratomas in adulthood. It underscores the importance of considering sacrococcygeal teratomas in the differential diagnosis of presacral masses within this age group.

Anahtar Kelimeler

Sacrococcygeal Region , Teratoma , Coccyx.

Sakrokoksigeal Teratomlarda Cerrahi Tedavi Sonuçlarımız: Dört Olgunun Sunumu

https://izlik.org/JA34SR39JD

Öz

Sakrokoksigeal teratomlar daha sık yeni doğan ve süt çocukluğu döneminde görülen ekstragonadal yerleşimli germ hücre tümörleridir. Bu çalışmada erişkin hastalarda presakral bölgenin kitlesel lezyonlarında sakrokoksigeal teratomun ayırıcı tanıda düşünülmesi gerektiğine vurgu yapmak amaçlanmıştır. 2011- 2020 tarihleri arasında teratom tanısı ile cerrahi tedavi edilen hastalar geriye dönük olarak tarandı. Sakrokoksigeal bölge dışı teratomu olan, 18 yaşından küçük olan ve çoklu veri eksikliği olan hastalar çalışma dışı bırakıldı Hastaların dosyaları incelenip, yaş, cinsiyet, başvuru şikâyeti, MR bulguları, Altman sınıflamaları, cerrahi yöntemleri, patolojik inceleme ve takip sonuçlarını analiz ederek kaydedildi. Çalışmaya dört olgu dahil edildi. Hastaların üç (%75)’ü kadındı ve genel yaş ortalaması 39.5±15.5 idi. Üç hasta ele gelen kitle, bir hasta dismenore şikâyeti ile başvurdu. Altman sınıflamasına göre iki hasta Tip 2, iki hasta Tip 3 ile uyumluydu. Posterior yaklaşımla üç, abdominal yaklaşımla opere edilen bir hasta bulunuyordu. Patoloji tümünde matür teratom olarak raporlandı. Takip süreçlerinde hiçbir hastada nüks görülmedi. Sakrokoksigeal teratomlara erişkin yaşta da rastlanılabilir. Bu yaş grubu presakral kitle ayırıcı tanısında sakrokoksigeal teratom akılda tutulmalıdır.

Anahtar Kelimeler

Sakrokoksigeal Bölge , Teratom , Koksiks.

Destekleyen Kurum

Bu çalışma Başkent Üniversitesi tarafından KA21/92 proje numarası ile desteklenmiştir.

Kaynakça

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