Adult sacrococcygeal teratoma: a case report.

Departments of Surgery University College Hospital, Ibadan, Nigeria.
Ghana medical journal 04/2009; 43(1):40-2.
Source: PubMed

ABSTRACT Sacrococcygeal teratomas are extremely rare in adults. We present an adult female with a sacrococcygeal teratoma managed in our hospital.

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    ABSTRACT: Adult Sacrococcygeal teratomas are very rare with female preponderance. The manuscript is a review of this rare tumor presenting in adulthood and review of literature. We report a case of sacrococcygeal teratoma in an adult female complicated by acute urinary retention and intestine obstruction. She had a 26 year old mass at the same site excised 10 year before the current presentation. In conclusion sacrococcygeal teratomas are rare especially in adults and usually present in complicated state and with high incidence of recurrence.
    IOSR Journal of Dental and Medical Sciences 11/2013; 12(5):2279-861. · 1.58 Impact Factor
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    ABSTRACT: Teratomas are rarely seen in adults, and presacral region is an area where they rarely settle in. Similarly, only about 1% of teratomas show malignant transformation. Malignant transformation is often associated with the area where teratoma settles in. Malignant transformation of mediastinal teratomas is more frequent than the ones located in retroperitoneal area and gonad. They most commonly show rhabdomyosarcoma, primitive neuroectodermal tumor, enteric adenocarcinoma, and leukemia transformation. In teratomas showing malignant transformation, the clinical course is aggressive; and survival of patients with metastatic disease is very low. The primary treatment of teratomas with malignant transformations is surgical. Effect of radiotherapy and chemotherapy is not clear in patients, to whom surgical operation cannot be applied, or those who are with residual tumor, even if surgical operation can be applied to them, or those who are at metastatic stage. In this paper, we presented a 76-year-old male patient due to the histologic diagnosis of mucinous adenocarcinoma within teratoma, in whom approximately 7 cm presacral mass was found during the radiographic examination made by the reason of low back pain and pelvic pain.
    01/2015; 2015:170479. DOI:10.1155/2015/170479
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    ABSTRACT: The current case report presents an account of a unique surgical procedure performed to remove an extremely rare occurrence of a transsacral abdominal mass from a 24-year-old female. The patient presented with subtle sacrococcygeal pain for two months and a presacral abdominal mass derived from the right ovary. The mass was misdiagnosed as a presacral tumor based on the results of magnetic resonance imaging (MRI) performed prior to the surgery. The patient also exhibited the symptoms commonly caused by a presacral mass, however, during the surgery, the mass was not initially located under the sacrum. An ultrasound examination and an analysis of an intraoperative frozen section indicated that the mass was a mature cystic teratoma (MCT) of the ovary, located in the peritoneal cavity between the rectum and uterus. The mass was successfully resected and removed from the affected ovary through the abdominal cavity via the sacral region. A pathological examination of the tumor section confirmed a diagnosis of a MCT of the ovary.
    Oncology letters 09/2013; 6(3):785-788. DOI:10.3892/ol.2013.1453 · 0.99 Impact Factor

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May 29, 2014