Paramythiotis Daniel, Papavramidis Theodossis S, Michalopoulos Antonios, Papadopoulos Vassilios N, Apostolidis Stylianos, Televantou Despoina, Hytiroglou Prodromos
1st Propedeutic Surgical Clinic, AHEPA University Hospital, St Kyriakidi 1, Thessaloniki, 54636, Greece.
J Med Case Rep. 2010 Jan 25;4:23. doi: 10.1186/1752-1947-4-23.
Teratomas of the sacrococcygeal area are usually diagnosed in infancy and are rarely seen in adults.
We report the case of a 36-year-old Greek woman experiencing chronic constipation due to a benign presacral teratoma. Imaging examinations showed a pelvic mass without evidence of malignancy. An ovoid tumour with a maximum dimension of 6 cm was surgically removed. A histologic examination revealed a mature cystic teratoma. Two years after surgery, the patient is well, with no evidence of recurrence and no constipation.
Sacrococcygeal teratomas are rare in adults. A high index of suspicion is important in making an early diagnosis. Rectal examination and radiologic evaluation are also valuable.
骶尾部畸胎瘤通常在婴儿期被诊断出来，在成人中很少见。
我们报告一例36岁希腊女性因良性骶前畸胎瘤出现慢性便秘的病例。影像学检查显示盆腔有肿物，无恶性证据。手术切除了一个最大直径为6厘米的卵圆形肿瘤。组织学检查显示为成熟囊性畸胎瘤。术后两年，患者情况良好，无复发迹象，便秘症状也消失了。
骶尾部畸胎瘤在成人中罕见。高度怀疑对于早期诊断很重要。直肠检查和影像学评估也很有价值。
