Sacrococcygeal teratoma in infants and children review of 17 cases

ABSTRACT

Sacrococcygeal teratoma a congenital tumor, may present at birth or at later in childhood. Altman's type 1 and 2 are most commonly seen while type 3 and 4 are rare. Sacrococcygeal teratoma may be benign with mature tissue and malignant with immature elements. Apart from surgery, adjuvant chemotherapy and radiotherapy may be needed in few cases. This Study conducted retrospectively to examine spectrum of 17 cases of sacrococcygeal teratoma received in infancy and childhood in the dept of pediatric surgery People's Medical College Nawabshah from 2001 to 2005. Female predominance found. Most of patients underwent through classical inverted chevron incision except two, which require abdomino-sacral approach. Benign histology found in 15 cases and two had malignant pathology, which required chemotherapy. In 2 years follow-up no recurrence found. From our study we found most of lesions were benign. Combined approach usually required in Altman's type 3, and early presentation always revealed benign pathology