Clinical Implication of Surgically treated Abdominoperineal Soild Tumor in the Newborn : A Single-Center Experience
Neonatal Medicine
;
: 23-28, 2018.
Article
Dans Coréen
| WPRIM
| ID: wpr-741657
ABSTRACT
PURPOSE:
Abdominoperineal solid tumors presenting in neonates often require surgical intervention during the neonatal period. Although we report our single-center experience, this study would be meaningful to understand the clinical implications of these neoplasms.METHODS:
We retrospectively reviewed and analyzed the clinical data and characteristics of 22 patients (≤28 days old) diagnosed with histopathologically confirmed abdominoperineal solid neoplasms (benign or malignant) after surgical resection.RESULTS:
The mean gestational age and postnatal age at the time of operation were 38.3±1.8 weeks and 13.5±8.3 days, respectively. Most patients (18/22, 81.8%) were diagnosed during antenatal care visits; however, 4 (18.2%) were identified after birth. The mean tumor size was 6.4×5.3 cm (3.5–17.0 cm), and tumors occurred most frequently within the sacrococcygeal region (8/22, 36.4%). Histopathologically, 14 patients (63.6%) demonstrated benign tumors and 8 (36.4%) demonstrated malignant tumors. Germ cell tumors and hepatoblastomas were the most commonly observed tumors. Fortunately, all patients showed a localized pattern of tumor involvement without distant metastasis. No recurrence or mortality was observed during the follow-up period (mean 66.4±44.2 months).CONCLUSION:
Abdominoperineal solid tumors occurring in neonates show variable clinical patterns during the antenatal and postnatal monitoring/screening periods. We conclude that aggressive and multidisciplinary approaches could achieve good clinical results in these patients.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Récidive
/
Région sacrococcygienne
/
Études rétrospectives
/
Études de suivi
/
Mortalité
/
Âge gestationnel
/
Hépatoblastome
/
Tumeurs embryonnaires et germinales
/
Parturition
/
Métastase tumorale
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
/
Nouveau-né
langue:
Coréen
Texte intégral:
Neonatal Medicine
Année:
2018
Type:
Article
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