Miles R M, Johnson J W
Surgical Service of Baptist Memorial Hospital, Memphis, Tennessee.
Am Surg. 1991 Jul;57(7):425-30.
This report describes the successful removal of the largest adult sacrococcygeal teratoma (18.75 kg) the authors could find on record. The patient was 58 years of age. The tumor had been present at birth and had been biopsied at the time of her cesarean section 34 years earlier without further treatment. Special planning was necessary for moving and positioning the patient for operation to prevent injury due to the size and weight of the tumor. A combined abdominosacral resection with preliminary ligation of the internal iliac arteries and a diversionary colostomy were performed without difficulty or undue blood loss. The defect was closed primarily and drained. The tumor proved to be malignant on pathologic examination.
本报告描述了成功切除作者所能找到的有记录以来最大的成人骶尾部畸胎瘤（18.75千克）。患者为58岁女性。该肿瘤自出生时就已存在，34年前剖宫产时曾进行活检，但未进一步治疗。由于肿瘤的大小和重量，为防止手术过程中患者移动和定位时受伤，需要进行特殊规划。手术顺利进行了腹骶联合切除术，先行结扎髂内动脉并做了转流性结肠造口术，术中无困难，失血也不多。创口一期缝合并置引流。病理检查证实该肿瘤为恶性。
