Two cases of prenatally diagnosed sacrococcygeal teratoma type I with different clinical features

Sacrococcygeal teratoma (SCT) is a rare congenital disease and prognostic factors have not been entirely established. We report two cases of fetal SCT with different clinical courses. Case 1 was a cystic, slow growing tumor with mild vascularity. The tumor was removed one week after delivery at 35 w...

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Bibliographic Details
Published in:Congenital anomalies 2013-06, Vol.53 (2), p.92-94
Main Authors: Goto, Shinobu, Suzumori, Nobuhiro, Obayashi, Shintaro, Ozaki, Yasuhiko, Sugiura-Ogasawara, Mayumi
Format: Article
Language:English
Subjects:
Adult
Cesarean Section
Female
Humans
Hydrops Fetalis - diagnostic imaging
Hydrops Fetalis - mortality
Hydrops Fetalis - pathology
Hydrops Fetalis - surgery
Infant
Magnetic Resonance Imaging
Male
Pregnancy
Pregnancy Complications, Neoplastic
Prenatal Diagnosis
prognosis
Radiography
Sacrococcygeal Region - diagnostic imaging
Sacrococcygeal Region - pathology
sacrococcygeal teratoma
Spinal Cord Neoplasms - diagnostic imaging
Spinal Cord Neoplasms - pathology
Spinal Cord Neoplasms - surgery
Teratoma - diagnostic imaging
Teratoma - pathology
Ultrasonography, Prenatal
ultrasound
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Summary:Sacrococcygeal teratoma (SCT) is a rare congenital disease and prognostic factors have not been entirely established. We report two cases of fetal SCT with different clinical courses. Case 1 was a cystic, slow growing tumor with mild vascularity. The tumor was removed one week after delivery at 35 weeks, and there was no recurrence at 1.5‐year follow‐up. Case 2 was a solid, rapid growing tumor with rich vascularity. Cesarean section was performed due to severe fetal hydrops and mirror syndrome in the mother at 27 weeks. The tumor had ruptured and was removed soon after delivery to control bleeding, but the baby died the next day. Our cases suggest that solid component and rich vascularity might correlate with poor prognosis.
ISSN:0914-3505
1741-4520
DOI:10.1111/j.1741-4520.2012.00369.x