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1. Chan KL, Tang MH, Tse HY, Tang RY, Lam HS, Lee CP, Tam PK: Factors affecting outcomes of prenatally-diagnosed tumours. Prenat Diagn; 2002 May;22(5):437-43
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • METHODS: Medical records of all fetuses referred to our institutions with antenatally-diagnosed tumours were reviewed for the type and location of the tumours, results of treatment and/or causes of death.
  • RESULTS: From January 1994 to May 2001, there were 15 fetuses with antenatally- diagnosed tumours: mesoblastic nephroma (MN) (n=2); neuroblastoma (NB) (n=2); cystic hygroma (CH) (n=3); intracranial germ cell tumour (IGCT) (n=2); sacrococcygeal teratoma (SCT) (n=3) and haemangioma (liver, n=2; limb, n=1).
  • One baby had cardiac failure resulting from a lower limb haemangioma and needed drug therapy.
  • All solid tumours (MN, NB, SCT) of the live births had no recurrence after surgery with or without adjuvant chemotherapy.
  • [MeSH-minor] Adult. Female. Gestational Age. Humans. Pregnancy. Retrospective Studies. Survival Analysis. Survival Rate. Treatment Outcome

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  • [Copyright] Copyright 2002 John Wiley & Sons, Ltd.
  • (PMID = 12001204.001).
  • [ISSN] 0197-3851
  • [Journal-full-title] Prenatal diagnosis
  • [ISO-abbreviation] Prenat. Diagn.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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2. Ozkan KU, Bauer SB, Khoshbin S, Borer JG: Neurogenic bladder dysfunction after sacrococcygeal teratoma resection. J Urol; 2006 Jan;175(1):292-6; discussion 296
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Neurogenic bladder dysfunction after sacrococcygeal teratoma resection.
  • PURPOSE: SCT treatment in newborns consists of surgery and selective chemotherapy.
  • This review focuses on the urological and neurourological findings following SCT treatment in the newborn period.
  • At the time of UDS an abnormal neurological examination was noted in 5 patients (36%).
  • CONCLUSIONS: SCT and its treatment can produce neurourological dysfunction of the lower urinary tract with high grade reflux, and abnormal bladder and urethral function.
  • [MeSH-major] Postoperative Complications / etiology. Teratoma / surgery. Urinary Bladder, Neurogenic / etiology
  • [MeSH-minor] Adolescent. Adult. Child. Child, Preschool. Female. Humans. Infant. Infant, Newborn. Male. Retrospective Studies. Sacrococcygeal Region


3. Howman-Giles R, Holland AJ, Mihm D, Montfort JM, Arbuckle S, Kellie S: Somatic malignant transformation in a sacrococcygeal teratoma in a child and the use of F18FDG PET imaging. Pediatr Surg Int; 2008 Apr;24(4):475-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Somatic malignant transformation in a sacrococcygeal teratoma in a child and the use of F18FDG PET imaging.
  • Biopsy revealed an adenocarcinoma most likely arising from a sacrococcygeal teratoma (SCT).
  • F(18)FDG Positron Emission Tomography (PET) scan confirmed marked metabolic activity in the tumour mass and regional lymph node involvement.
  • After chemotherapy repeat CT and PET studies revealed a poor response but no evidence of peritoneal or distant metastases.
  • Radical abdomino-pelvic and gluteal surgery was performed with removal of the entire tumour confirmed as a moderately differentiated adenocarcinoma arising in an immature teratoma.
  • [MeSH-major] Adenocarcinoma. Fluorodeoxyglucose F18. Neoplasms, Multiple Primary. Positron-Emission Tomography. Radiopharmaceuticals. Teratoma
  • [MeSH-minor] Cell Transformation, Neoplastic / pathology. Child. Female. Humans. Sacrococcygeal Region. Treatment Outcome

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  • (PMID = 17828545.001).
  • [ISSN] 0179-0358
  • [Journal-full-title] Pediatric surgery international
  • [ISO-abbreviation] Pediatr. Surg. Int.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Radiopharmaceuticals; 0Z5B2CJX4D / Fluorodeoxyglucose F18
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4. Peterson EC, Alden TD, Patterson K, Lipson A, Friedman D, Garcia J, Avellino AM: Epidural metastases from endodermal sinus tumor arising from benign sacral teratoma. Case report and review of the literature. J Neurosurg; 2007 Oct;107(4 Suppl):303-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Epidural metastases from endodermal sinus tumor arising from benign sacral teratoma. Case report and review of the literature.
  • The authors describe a case of a mature sacrococcygeal teratoma in a 4-day-old female patient that recurred after 22 months as an EST with epidural metastases.
  • Pathological testing of samples of both the recurrent pelvic and the extradural spinal tumors led to a diagnosis of EST.
  • The patient underwent four cycles of chemotherapy with normalization of her AFP level to 13 ng/ml.
  • The patient underwent a second course of chemotherapy followed by two tandem courses of high-dose chemotherapy with autologous stem-cell rescue.
  • Since completing this therapy the patient has been clinically stable with an AFP level of 1.3 ng/ml for 14 months.
  • To the authors' knowledge, this is the first case of a mature sacrococcygeal tumor that recurred as an EST and caused spinal canal compromise.
  • [MeSH-major] Endodermal Sinus Tumor / secondary. Neoplasm Recurrence, Local / pathology. Pelvic Neoplasms / pathology. Spinal Neoplasms / secondary. Teratoma / pathology
  • [MeSH-minor] Antineoplastic Agents / therapeutic use. Coccyx. Epidural Space. Female. Humans. Infant, Newborn. Magnetic Resonance Imaging. Neurosurgical Procedures. Sacrum. alpha-Fetoproteins / metabolism

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  • (PMID = 17941495.001).
  • [ISSN] 0022-3085
  • [Journal-full-title] Journal of neurosurgery
  • [ISO-abbreviation] J. Neurosurg.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antineoplastic Agents; 0 / alpha-Fetoproteins
  • [Number-of-references] 14
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5. Albert A, Cruz O, Montaner A, Vela A, Badosa J, Castañón M, Morales L: [Congenital solid tumors. A thirteen-year review]. Cir Pediatr; 2004 Jul;17(3):133-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • This is an interesting group of tumors because their type, relative incidence, natural history and response to treatment differ from those seen in older children.
  • Treatment was surgical resection alone in 17 cases (68%) and surgery + chemotherapy in 8 (32%) (5 neuroblastomas, one CNS tumor, one Wilms tumor and one presacral teratoma who developed a yolk sac tumor); 3 patients died (11%): one at surgery, one of tumoural airway obstruction at birth and one with craniopharyngioma.
  • Among the 14 tumors that were initially not malignant, two can be locally agressive, one was an immature teratoma, the giant nevus with hamartoma developed in situ melanoma, the other nevus had meningeal melanosis with hydrocephalus, and one mature presacral teratoma developed a yolk sac tumor.
  • CONCLUSIONS: Diagnosis of congenital tumors is performed earlier in recent years due to the wide use of prenatal ultrasound.
  • Complete surgical excision is the treatment of choice, most cases not need adjuvant chemotherapy.
  • We ought to pass this message on to our colleagues in prenatal diagnosis, so parents get reliable information.
  • [MeSH-major] Central Nervous System Neoplasms / congenital. Kidney Neoplasms / congenital. Liver Neoplasms / congenital. Neuroblastoma / congenital. Skin Neoplasms / congenital. Soft Tissue Neoplasms / congenital. Teratoma / congenital. Wilms Tumor / congenital
  • [MeSH-minor] Female. Follow-Up Studies. Humans. Infant, Newborn. Male. Neoplasm Recurrence, Local. Postoperative Complications. Pregnancy. Prenatal Diagnosis. Time Factors


6. Chirdan LB, Uba AF, Pam SD, Edino ST, Mandong BM, Chirdan OO: Sacrococcygeal teratoma: clinical characteristics and long-term outcome in Nigerian children. Ann Afr Med; 2009 Apr-Jun;8(2):105-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Sacrococcygeal teratoma: clinical characteristics and long-term outcome in Nigerian children.
  • BACKGROUND/PURPOSE: The excision of sacrococcygeal teratoma (SCT) may be associated with significant long-term morbidity for the child.
  • METHODS: Between January 1990 and May 2008 inclusive, 38 consecutive children with the diagnosis of SCT were identified from the operation register and the Cancer Registry of the Jos University Teaching Hospital.
  • Four children with malignant disease had chemotherapy in addition to excision of the tumor.
  • [MeSH-major] Coccyx. Sacrum. Spinal Neoplasms / diagnosis. Teratoma / diagnosis
  • [MeSH-minor] Developing Countries. Female. Humans. Infant. Infant, Newborn. Male. Nigeria / epidemiology. Prevalence. Prognosis. Retrospective Studies. Sacrococcygeal Region. Sex Factors

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  • (PMID = 19805941.001).
  • [ISSN] 1596-3519
  • [Journal-full-title] Annals of African medicine
  • [ISO-abbreviation] Ann Afr Med
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Nigeria
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7. Groff DB: Pelvic neoplasms in children. J Surg Oncol; 2001 May;77(1):65-71
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The most common neoplasms are rhabdomyosarcomas of the bladder, prostate, and vagina; sacrococcygeal teratoma; and the germ cell tumors, including teratomas, endodermal sinus tumors, and the choriocarcinomas.
  • Rapidly improving chemotherapy for all of these lesions has resulted in a changed role for the surgeon.
  • Survival for all types of childhood pelvic neoplasms has improved dramatically under the influence of the combined children's cancer study groups, which have been functioning for the last 20 years.
  • Because of the complexities of diagnosis and treatment of these pelvic neoplasms in childhood and because the survival rates have dramatically improved with the most current therapy, these children should be cared for in a children's center that is part of the major children's cancer study groups.

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  • [Copyright] Copyright 2001 Wiley-Liss, Inc.
  • (PMID = 11344486.001).
  • [ISSN] 0022-4790
  • [Journal-full-title] Journal of surgical oncology
  • [ISO-abbreviation] J Surg Oncol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 36
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8. Lukaszewski T, Połczyńska-Kaniak E, Puacz P, Seremak-Mrozikiewicz A, Drews K: [Sacrococcygeal teratoma in foetus--case report]. Ginekol Pol; 2009 Nov;80(11):861-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Sacrococcygeal teratoma in foetus--case report].
  • Sacrococcygeal teratoma develops from all three germinal layers (endoderm, mesoderm and ectoderm).
  • Sacrococcygeal teratomas (SCT) are the most common neoplasms in the fetus and newborns, with an estimated prevalence of 1 in 20,000 to 1 in 40,000.
  • According to Polish Gynecology Society Recommendation, the main aim of intrauterine intervention or pharmacological treatment in case of prenatally diagnosed SCT is to prevent development of severe fetal cardiac failure.
  • The following article describes a case report of a 34-year-old pregnant woman, 23 weeks of gestation, with a diagnosis of fetal sacrococcygeal teratoma.
  • Each pregnant woman with suspicion of neoplasm in fetus should be referred to tertiary center of perinatal care to gain access to specific diagnostic methods and medical care of many specialists, such as obstetricians, neonatologists, general practitioners and infant surgeons.
  • [MeSH-major] Abortion, Eugenic. Congenital Abnormalities / diagnostic imaging. Sacrococcygeal Region / diagnostic imaging. Spinal Neoplasms / diagnostic imaging. Teratoma / diagnostic imaging
  • [MeSH-minor] Adult. Fatal Outcome. Female. Humans. Pregnancy. Pregnancy Trimester, Second. Prenatal Diagnosis. Ultrasonography


9. Unal E, Koksal Y, Toy H, Gunel E, Acikgozoglu S: Neuroblastoma arising from an unresected sacrococcygeal teratoma in a child. J Pediatr Hematol Oncol; 2010 Apr;32(3):233-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Neuroblastoma arising from an unresected sacrococcygeal teratoma in a child.
  • The authors report a case of malignant transformation of an unreseceted sacrococcygeal teratoma to neuroblastoma in a 6-year-old girl and discuss this case in the light of relevant literature.
  • In addition, when malignant transformation occurs, the treatment strategy must include surgery together with histology adapted systemic chemotherapy.
  • [MeSH-major] Cell Transformation, Neoplastic / pathology. Neuroblastoma / pathology. Sacrococcygeal Region / pathology. Spinal Neoplasms / pathology. Teratoma / pathology


10. Wakhlu A, Misra S, Tandon RK, Wakhlu AK: Sacrococcygeal teratoma. Pediatr Surg Int; 2002 Sep;18(5-6):384-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Sacrococcygeal teratoma.
  • This retrospective study details our experience regarding 72 patients with sacrococcygeal teratoma treated over a period of 17 years.
  • The sex incidence was nearly equal, but there was a high proportion of Altmann type IV tumors.
  • A preliminary colostomy before combined abdominosacral excision of large type III and IV lesions reduced morbidity.
  • Imaging studies included radiography, abdominal ultrasound, computed tomography, and magnetic resonance imaging (after 1995).
  • Eight had a preliminary colostomy and chemotherapy followed by excision of the residual tumor and colostomy closure.
  • Of the latter 11 (who received cisplatinum-based chemotherapy), 10 were alive 1 year after surgery.
  • One patient is currently on preoperative chemotherapy and another developed recurrence of the tumor.
  • As intrapelvic tumors tend to have a delayed diagnosis, this can be avoided by performing a rectal examination.
  • There should be no recurrence after excision of a benign teratoma.
  • Cisplatinum-based chemotherapy has improved the survival of patients with malignant tumors.
  • [MeSH-major] Teratoma / surgery
  • [MeSH-minor] Adolescent. Child. Child, Preschool. Combined Modality Therapy. Female. Humans. Infant. Magnetic Resonance Imaging. Male. Retrospective Studies. Sacrococcygeal Region

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  • (PMID = 12415361.001).
  • [ISSN] 0179-0358
  • [Journal-full-title] Pediatric surgery international
  • [ISO-abbreviation] Pediatr. Surg. Int.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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11. Ghazi L, Ko F, Bathgate SL, Larsen JW, Macri C: Rapid growth of a fetal sacrococcygeal teratoma in an HIV-infected woman: a case report. J Reprod Med; 2006 May;51(5):431-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Rapid growth of a fetal sacrococcygeal teratoma in an HIV-infected woman: a case report.
  • BACKGROUND: Sacrococcygeal teratoma, the most common congenital neoplasm of the newborn, associated with fetal hydrops and high morbidity and mortality related to the secondary effects of the tumor mass, is of unknown etiology.
  • Prompt diagnosis and early treatment have proven to be effective.
  • CASE: A 24-year-old woman, gravida 3, para 2, at 385/7 weeks' gestation, with a pregnancy complicated by HIV diagnosed during pregnancy, seizure disorder and tobacco use, presented with premature rupture of membranes.
  • CONCLUSION: This is the first case report to describe a rapidly growing sacrococcygeal teratoma in a neonate from a pregnancy complicated by HIV.
  • Further research concerning sacrococcygeal teratoma and HIV in pregnancy is necessary for prompt and early diagnosis and treatment of antepartum and peripartum complications.
  • [MeSH-major] HIV Infections / drug therapy. Pregnancy Complications, Infectious / drug therapy. Sacrococcygeal Region / surgery. Teratoma / surgery
  • [MeSH-minor] Adult. Cesarean Section. Female. Fetal Diseases / etiology. HIV Seropositivity. Humans. Infant, Newborn. Laparoscopy. Pregnancy. Seizures / drug therapy. Seizures / prevention & control. Smoking


12. Khalil BA, Aziz A, Kapur P, Humphrey G, Morabito A, Bruce J: Long-term outcomes of surgery for malignant sacrococcygeal teratoma: 20-year experience of a regional UK centre. Pediatr Surg Int; 2009 Mar;25(3):247-50
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Long-term outcomes of surgery for malignant sacrococcygeal teratoma: 20-year experience of a regional UK centre.
  • BACKGROUND: The timing of surgery for malignant sacrococcygeal teratoma is controversial.
  • METHODS: All cases of malignant sacrococcygeal teratoma in the 20-year period 1987-2006 were identified and the case notes retrieved.
  • The age at diagnosis, investigations, presentation, type of surgery, early complications, recurrence rates, long-term complications and outcomes were recorded.
  • The average time of follow-up was 10.6 years (range: 1-17 years).
  • Ten patients had excision of their tumours following chemotherapy, whilst two patients had excision prior to chemotherapy.
  • CONCLUSION: Surgery for malignant sacrococcygeal teratoma is safe and has a low complication rate.
  • [MeSH-major] Antineoplastic Combined Chemotherapy Protocols / administration & dosage. Spinal Neoplasms / surgery. Teratoma / surgery
  • [MeSH-minor] Bleomycin / administration & dosage. Carboplatin / administration & dosage. Child, Preschool. Etoposide / administration & dosage. Female. Follow-Up Studies. Humans. Infant. Male. Neoadjuvant Therapy. Sacrococcygeal Region. Treatment Outcome. United Kingdom

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  • (PMID = 19184053.001).
  • [ISSN] 1437-9813
  • [Journal-full-title] Pediatric surgery international
  • [ISO-abbreviation] Pediatr. Surg. Int.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
  • [Chemical-registry-number] 11056-06-7 / Bleomycin; 6PLQ3CP4P3 / Etoposide; BG3F62OND5 / Carboplatin; JEB protocol
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13. Jung CK, Lee YS, Jung ES, Kang CS, Kim BK: Oligodendroglioma arising in a sacrococcygeal immature teratoma. J Korean Med Sci; 2002 Jun;17(3):426-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Oligodendroglioma arising in a sacrococcygeal immature teratoma.
  • Tumors of neuroepithelial origin are extremely rare in teratoma and tend to be derived from glial or primitive neuroectodermal cells.
  • We describe a case of 2- month-old baby girl with an oligodendroglioma arising in an immature teratoma of the sacrococcygeal region.
  • Because immature teratoma was grade II, the patient received adjuvant chemotherapy.
  • [MeSH-major] Oligodendroglioma / pathology. Sacrococcygeal Region / pathology. Spinal Neoplasms / pathology. Teratoma / pathology

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  • (PMID = 12068154.001).
  • [ISSN] 1011-8934
  • [Journal-full-title] Journal of Korean medical science
  • [ISO-abbreviation] J. Korean Med. Sci.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC3054871
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14. Yalçin B, Kutluk MT, Ariyürek M, Göğüş S, Büyükpamukçu M: Metastatic endodermal sinus tumor: CT appearances. Turk J Pediatr; 2002 Oct-Dec;44(4):343-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • A one-week-old boy had undergone resection of a sacrococcygeal benign cystic teratoma.
  • Postoperatively, massively enlarged inguinal lymph nodes and abdominal distention developed.
  • Computerized tomography displayed enlarged inguinal lymph nodes, metastatic lesions in the liver, and a pelvic recurrent mass.
  • He received BEP (bleomycin, etoposide, cisplatin) chemotherapy regimen, and a complete remission was achieved with a normal serum alpha-fetoprotein.
  • Close follow-up and serum alpha-fetoprotein monitoring are mandatory after the resection of a sacrococcygeal teratoma.
  • [MeSH-minor] Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Bleomycin / therapeutic use. Cisplatin / therapeutic use. Combined Modality Therapy. Etoposide / therapeutic use. Humans. Infant. Male. Sacrococcygeal Region. Tomography, X-Ray Computed. alpha-Fetoproteins / analysis

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  • (PMID = 12458813.001).
  • [ISSN] 0041-4301
  • [Journal-full-title] The Turkish journal of pediatrics
  • [ISO-abbreviation] Turk. J. Pediatr.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Turkey
  • [Chemical-registry-number] 0 / alpha-Fetoproteins; 11056-06-7 / Bleomycin; 6PLQ3CP4P3 / Etoposide; Q20Q21Q62J / Cisplatin; BEP protocol
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15. Shonubi AM, Musa AA, Akiode O, Salami BA, Kingu HJ, Adnan SM: Mature sacrococcygeal teratoma: a case report and literature review. West Afr J Med; 2004 Apr-Jun;23(2):176-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Mature sacrococcygeal teratoma: a case report and literature review.
  • BACKGROUND: Sacrococcygeal teratomas are derived from embryonic germ cell layers.
  • Modern imaging technique may be helpful to delineate the extent of the mass but surgical excision is generally indicated at the time of detection.
  • RESULTS: A three day old female baby presented with a mature sacrococcygeal teratoma containing well-developed limb buds.
  • CONCLUSION: Sacrococcygeal teratoma is a rare tumour that may be benign or malignant.
  • Complete excision is the primary therapy and is adequate if the tumour is benign.
  • Chemotherapy and radiotherapy are however indicated in malignant cases and in recurrence after previous excision.
  • [MeSH-major] Sacrococcygeal Region. Teratoma
  • [MeSH-minor] Biopsy. Female. Humans. Infant, Newborn. Nigeria. Postoperative Care / methods. Rare Diseases / blood. Rare Diseases / congenital. Rare Diseases / diagnosis. Rare Diseases / surgery. Skin Care / methods. Surgical Flaps. Tomography, X-Ray Computed. Treatment Outcome. Wound Healing. alpha-Fetoproteins / metabolism

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  • (PMID = 15287301.001).
  • [ISSN] 0189-160X
  • [Journal-full-title] West African journal of medicine
  • [ISO-abbreviation] West Afr J Med
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] Nigeria
  • [Chemical-registry-number] 0 / alpha-Fetoproteins
  • [Number-of-references] 24
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