Gynecology and Obstetrics Department, Corporació Sanitària Parc Taulí, Parc Taulí s/n, 08208, Sabadell, Spain.
J Med Case Rep. 2020 Jun 19;14(1):72. doi: 10.1186/s13256-020-02395-9.
Sacrococcygeal teratoma is one of the most frequently prenatally diagnosed neoplasias. Obstetric ultrasound has a role in the diagnosis and management of these tumors during pregnancy. In this report, we describe a multidisciplinary approach in a case of a patient with sacrococcygeal teratomas and preterm delivery, as well as postnatal outcomes.
A 26-year-old Caucasian woman at 20.3 weeks of gestation with a normal gestational course and no relevant medical or surgical history was referred to our institution with a sacrococcygeal mass diagnosis. Magnetic resonance imaging confirmed the diagnosis of sacrococcygeal teratoma type I according to the Altman classification. Follow-up with ultrasound showed an increase in the size of the mass up to 190 × 150 mm, high Doppler flow, and severe polyhydramnios. At 35.1 weeks of gestation, the patient had premature rupture of membranes, and an emergency cesarean section was performed due to recurrent late decelerations detected by fetal heart rate monitoring. Afterward, surgery was performed successfully at 36 hours of life. Posterior controls revealed normal and healthy child growth.
This case report demonstrates the importance of a multidisciplinary approach to offer the best neonatal outcomes by performing early surgery, as well as the need for follow-up by ultrasound in order to minimize complications by assessing mass growth, Doppler flow, and amniotic fluid.
骶尾部畸胎瘤是最常被产前诊断出的肿瘤之一。产科超声在这些肿瘤的诊断和孕期管理中具有重要作用。本报告描述了一例骶尾部畸胎瘤合并早产患者的多学科治疗方法，以及产后结局。
一名 26 岁的白人女性，妊娠 20.3 周，正常妊娠，无相关内科或外科病史，因骶尾部肿块就诊于我院。磁共振成像（MRI）根据 Altman 分类证实了骶尾部畸胎瘤 I 型的诊断。超声随访显示肿块大小增加至 190×150mm，多普勒血流高，羊水过多。妊娠 35.1 周时，患者胎膜早破，因胎儿心率监测发现晚期减速反复发作，行急诊剖宫产术。随后，患儿出生后 36 小时成功进行了手术。后期随访显示患儿生长正常，健康。
本病例报告强调了多学科治疗的重要性，通过早期手术可以获得最佳的新生儿结局，同时需要通过超声进行随访，以通过评估肿块生长、多普勒血流和羊水来最小化并发症。
