Dragomirescu C, Budu S, Sabău D, Juvara I
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1980 Sep-Oct;29(5):391-6.
Problems of diagnosis, classification, and histologic definition, as well as possibilities of evolution are discussed, of teratomas or of tumours resulting from the disturbed development of the sacro-coccygeal area, in connection with a case of recidivating sacro-coccygeal teratoma in a woman aged 40 years. The therapeutic principles are also discussed The risk of malignant degeneration of these lesions, in parallel with their evolution in time, make necessary surgical exeresis immediately after making the diagnosis. Surgery should be performed with a maximum amount of comfort, under general anesthesia, preferably in the Kraske position, in view of the complete extirpation of pathological tissues. Resection of the coccyx and of the last sacral vertebrae allows to widen the approach, facilitating the complete exeresis, and avoiding the two risks which are characteristic for this intervention: lesion of the rectum, and haemorrhage which is difficult to control. The postoperative aspiratory draining is useful for the favourable evolution of the wound.
结合一名40岁女性复发性骶尾部畸胎瘤病例，讨论了骶尾部区域发育异常所致畸胎瘤或肿瘤的诊断、分类、组织学定义问题以及演变可能性。还讨论了治疗原则。鉴于这些病变有恶变风险且随时间演变，确诊后应立即进行手术切除。手术应在全身麻醉下以最大程度的舒适状态进行，鉴于要彻底切除病理组织，最好采用克拉斯克体位。切除尾骨和最后一节骶椎可扩大手术入路，便于彻底切除，并避免该手术特有的两种风险：直肠损伤和难以控制的出血。术后负压引流有助于伤口顺利愈合。
