Sacrococcygeal teratoma in Upper Egypt: ten years experience

ABSTRACT

This study reviewed twenty-six patients operated with sacrococcygeal teratoma [SCT], they were twenty-two females and four males with female to male ration of 5.5 1. Twelve patients of them were diagnosed during neonatal period, six were diagnosed between the age of one to two months, three were diagnosed between the age of two months and one year and five between the age of one year and seven years. Four of the five delayed cases were Altman type [hidden tumor]. Five of the twenty-six cases of SCT were malignant, three of them died within one year of the initial diagnosis and the other two were still under multi- agent chemotherapy. Ten cases were Altman type I, eight cases were type II, three cases were type III and five cases were type IV. Recurrence occurred in two cases of benign SCT at nine and fourteen months after the original operation and were treated by surgical excision. Awareness and early diagnosis of hidden SCT [Altman type IV]by rectal examination and imaging by CT and ultrasonography may improve the outcome of the malignant SCT