Gozar H, Ardelean M, Giliga V, Turcu M, Bancu S
County Emergency Clinical Hospital Tg-Mureş.
Chirurgia (Bucur). 2010 Jul-Aug;105(4):537-40.
Sacrococygeal teratomas are congenital tumors of newborns, originate from one or more of the three germinal layers. Most sacrococygeal teratomas are found in newborns, infants and children youger than 4 years. The prenatal ultrasound exams have increased the number of sacrococygeal teratomas presenting in fetuses. Radical resection, including the coccyx must be performed even if the primary lesion is benign in up to 70% of cases. We report a 16 days old baby girl presented with a large, type 111 sacrococygeal teratoma. The tumor was diagnosed only at 36 weeks of pregnancy. The teratoma was disected from the surrounding structures and excised en bloc with the coccyx. The postoperative recovery was uneventful. There are good functional and cosmetic results at six months follow-up.
骶尾部畸胎瘤是新生儿先天性肿瘤,起源于三个胚层中的一个或多个。大多数骶尾部畸胎瘤见于新生儿、婴儿及4岁以下儿童。产前超声检查增加了胎儿骶尾部畸胎瘤的检出数量。即使在高达70%的病例中主要病变为良性,也必须进行包括尾骨在内的根治性切除。我们报告一名16天大的女婴,患有巨大的Ⅲ型骶尾部畸胎瘤。该肿瘤直到妊娠36周时才被诊断出来。将畸胎瘤从周围结构中分离出来,并与尾骨一并整块切除。术后恢复顺利。随访6个月时功能和美容效果良好。