IMAGEM DO TRIMESTRE/IMAGE OF THE TRIMESTER. Prenatal diagnosis of sacrococcygeal teratoma. Diagnóstico pré-natal de teratoma sacrococcígeo. Se describe un caso de teratoma sacrococcígeo diagnosticado en la semana 21 en la ecografía de un estudio morfológico del segundo trimestre. 29 Oct Request PDF on ResearchGate | Presentación de un caso: teratoma sacrococcígeo | Introduction: the term teratoma was first time used in

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Signal characteristics can significantly vary depending on the constituent of the teratoma 1. The teratoma and malignant cells may need to be treated differently. Suggestive image of anal opening can be seen in previous perianal region.

Fetal Surgery for Sacrococcygeal Teratoma: Background, Indications, Contraindications

Sometimes a mature or immature teratoma also contains malignant cells. The surface is light with chondroid appearance areas. Identifies bone, fat and cystic components. One tumor with about 1 kg of weight, Contraindications Contraindications to fetal intervention for SCT include the following [ 13 ]: Mediastinal tumorsincluding teratomas, are similarly concealed and protected by the rib cage.

TFR higher than 0. Like other teratomas, an SCT can grow very large. The walls have a maximum thickness of 0. During prenatal ultrasoundan SCT having an external component may appear as a fluid-filled cyst or a solid mass sticking out from the fetus’ body.

Aug 16, Author: Short communications Public health problems Essays Health policy. The Altman type is significant in the contexts of management of labor and delivery, surgical approach, and complications of SCT.

The correlation between sonographic appearances and malignant components are thought to be poor 7. Late urologic sequelae after surgery for congenital sacrococcygeal teratoma. There teratomx case reports of good outcomes. Amniocentesis for fetal karyotyping.


Outcomes Several institutions have reported outcomes with and without saxrococcigeo intervention for prenatally diagnosed SCT. Curr Opin Obstet Gynecol. In this series, 12 fetuses developed hydrops, four of whom survived. Other findings include erosion of a vertebral body or soft tissue mass with areas of calcification in radiography [21][22].

The couple opted for termination of pregnancy and the histopathological analysis confirmed an immature teratoma with an important extension into the pelvic cavity, causing anterior displacement of the perineum and pelvic organs. Lobular carcinoma in situ Invasive lobular carcinoma. Check for errors and try again.

Teratoma sacrococcígeo: diagnóstico y seguimiento – ScienceDirect

The Journal of reproductive medicine. The differential diagnosis must be made with the myelomeningocele – entity that more frequently leads to confusion with other diseases such as lipomas, hemangiomas, pilonidal cyst and epidermoid cyst. With it, timely planning, study and multidisciplinary treatment of patients can be achieved [5]as summarized in the case presented below.

Prenatal assessment and management of sacrococcygeal teratoma. Although the majority of the cases are benign, sacrococcygeal teratomas are linked to high morbidity and mortality from preterm deliveries, along with complications such as malignant invasion, tumor hemorrhage, obstruction of umbilical flow and high output heart failure, [23].

Sacrococcygeal teratoma

As the tumor grows, it can push between other organs and through the perineum to the body surface where the tumor appears as a bulge covered only by skin. This wide disease spectrum has prompted several fetal treatment centers to identify ultrasonographic predictors of survival for fetuses with SCT to help identify high-risk fetuses who may benefit from fetal intervention. Int J Gastrointest Cancer. CS1 Bulgarian-language sources bg CS1 German-language sources de Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from May Articles with unsourced statements from August There was also hyperplasia of the erythroid lineage in the hepatic sinusoids, probably due to anemia related to the presence of the tumor.


These tumors may get enormous dimensions and contain large blood vessels that provoke blood depriving to the developing fetus. Intravenous access is established in saphenous vein of fetus before debulking of sacrococcygeal teratoma.

In a review of 79 fetuses with prenatally diagnosed SCT at three fetal centers from toreceiver operating characteristic ROC analysis revealed that a TFR higher than 0. Prognostic role of tumor-head volume ratio in fetal sacrococcygeal teratoma. Its presentation may be forming large cysts or as solid mass.

Fetal Surgery for Sacrococcygeal Teratoma

Most Popular Articles According to Pediatricians. Cruciate ligament of atlas Swcrococcigeo ligament of atlas Alar ligament Apical ligament of dens Tectorial membrane of atlanto-axial joint Lateral: Treatment of childhood germ cell tumors. Fetuses with SCT are considered for fetal resection or fetal intervention only in extreme cases on an individual basis. Most lesions occur in the neonatal period and may be benign or malignant, cystic or solid.