Reporte de caso
Medwave 2015 May;15(4):e6137 doi: 10.5867/medwave.2015.04.6137
Teratoma sacrococcígeo: presentación de un caso
Sacrococcygeal teratoma: case report
Ricardo Molina Vital, José Martín de Santiago Valenzuela, Roberto Carlos de Lira Barraza
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Palabras clave: teratoma, sacrococcygeal region, newborn infant

Abstract

We present a male newborn child with a sacrococcygeal mass who was sent to clinic 46 of the Mexican Social Security Institute located in Gomez Palacio, Durango, Mexico for pediatric/neonatal surgical resolution. The mass was detected on gestation week 24 in the sacrococcygeal area and was initially interpreted as a myelomeningocele. On gestation week 32, the mass had grown, so the diagnosis of cystic hygroma was posed. The child was born at 38 weeks of gestational age with a large tumor in the sacrococcygeal area. Images were obtained, and tumor resection was performed without complications. Pathologic examination confirmed the diagnosis of sacrococcygeal teratoma. The postoperative course was uneventful and there were no further complications.


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Error Content : No se econtro el path especificado
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We present a male newborn child with a sacrococcygeal mass who was sent to clinic 46 of the Mexican Social Security Institute located in Gomez Palacio, Durango, Mexico for pediatric/neonatal surgical resolution. The mass was detected on gestation week 24 in the sacrococcygeal area and was initially interpreted as a myelomeningocele. On gestation week 32, the mass had grown, so the diagnosis of cystic hygroma was posed. The child was born at 38 weeks of gestational age with a large tumor in the sacrococcygeal area. Images were obtained, and tumor resection was performed without complications. Pathologic examination confirmed the diagnosis of sacrococcygeal teratoma. The postoperative course was uneventful and there were no further complications.

Autores: Ricardo Molina Vital[1], José Martín de Santiago Valenzuela[2], Roberto Carlos de Lira Barraza[2]

Filiación:
[1] Facultad de Medicina, Universidad Juárez del Estado de Durango, Durango, México
[2] Universidad Juárez del Estado de Durango, Durango, México

E-mail: rickymol@hotmail.com

Correspondencia a:
[1] Clínica Nº46 Gómez Palacio
Durango
México

Citación: Molina Vital R, de Santiago Valenzuela JM, de Lira Barraza RC. Sacrococcygeal teratoma: case report. Medwave 2015 May;15(4):e6137 doi: 10.5867/medwave.2015.04.6137

Fecha de envío: 9/1/2015

Fecha de aceptación: 3/5/2015

Fecha de publicación: 12/5/2015

Origen: no solicitado

Tipo de revisión: con revisión por tres pares revisores externos, a doble ciego

Ficha PubMed

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Nombre/name: Alfredo alejandro Garcia
Fecha/date: 2021-03-29 05:26:30
Comentario/comment:
Excelente artículo de nuestra comunidad médica!


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  1. Gabra HO, Jesudason EC, McDowell HP, Pizer BL, Losty PD. Sacrococcygeal teratoma--a 25-year experience in a UK regional center. J Pediatr Surg. 2006 Sep;41(9):1513-6. | PubMed |
  2. Berbel Tornero O, Ferrís i Tortajada J, Ortega García JA. [Neonatal neoplasms: a single-centre experience]. An Pediatr (Barc). 2007 Jul;67(1):85-6. | PubMed | Link |
  3. Hase T, Kodama M, Kishida A, Shimadera S, Aotani H, Shimada M, et al. Techniques available for the management of massive sacrococcygeal teratomas. Pediatr Surg Int. 2001 Mar;17(2-3):232-4. | PubMed |
  4. Gutiérrez Ureña JA, Calderón Elvir CA, Ruano Aguilar J, Vásquez Gutiérrez E, Duarte Valencia JC, Barraza León. Teratoma sacrococcígeo: informe de veinte casos. Act Med Grupo Angeles. 2003;1(2):82-86. | Link |
  5. Bruno Catoia F, Ricardo Ibañez G, Marco Valenzuela A. Teratoma sacrococcígeo: reporte de un caso, desde el diagnóstico antenatal a la resección y reconstrucción primaria. Revista Anacem. 2013;VII(2013):27-31. | Link |
  6. Isaacs H Jr. Perinatal (fetal and neonatal) germ cell tumors. J Pediatr Surg. 2004 Jul;39(7):1003-13. | CrossRef | PubMed |
  7. Gucciardo L, Uyttebroek A, De Wever I, Renard M, Claus F, Devlieger R, et al. Prenatal assessment and management of sacrococcygeal teratoma. Prenat Diagn. 2011 Jul;31(7):678-88. | CrossRef | PubMed |
  8. Victoria Miñana I, Ruiz Company S. Teratomas en la Infancia. Arch Dom Pediatr. 1984 Ene-abr;20(1):15-22. | Link |
  9. Virchow R. Über die sakralgeschwulst des schliewener kindes. Klin Wochenschr. 1869;46:132.
  10. Bianchi DW, Crombleholme TM, D'Alton ME. Fetology: diagnosis and management of the fetal patient. 2nd ed. New York: McGraw-Hill Medical Pub. Division; 2010: xix.
  11. Altman RP, Randolph JG, Lilly JR. Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973. J Pediatr Surg. 1974 Jun;9(3):389-98. | PubMed |
  12. Quevedo R. Tumores de células germinales. Rev Peruana Radiol. 1999;3(7). | Link |
  13. Benachi A, Durin L, Vasseur Maurer S, Aubry MC, Parat S, Herlicoviez M, et al. Prenatally diagnosed sacrococcygeal teratoma: a prognostic classification. J Pediatr Surg. 2006 Sep;41(9):1517-21. | CrossRef | PubMed |
  14. Havránek P, Rubenson A, Güth D, Frenckner B, Olsen L, Kornfält SA. et al. Sacrococcygeal teratoma in Sweden: a 10-year national retrospective study. J Pediatr Surg. 1992 Nov;27(11):1447-50. | CrossRef | PubMed |
  15. Rescorla FJ, Sawin RS, Coran AG, Dillon PW, Azizkhan RG. Long-term outcome for infants and children with sacrococcygeal teratoma: a report from the Childrens Cancer Group. J Pediatr Surg. 1998 Feb;33(2):171-6. | CrossRef | PubMed |
  16. Malone PS, Spitz L, Kiely EM, Brereton RJ, Duffy PG, Ransley PG. The functional sequelae of sacrococcygeal teratoma. J Pediatr Surg. 1990 Jun;25(6):679-80. | CrossRef | PubMed |
  17. Rintala R, Lahdenne P, Lindahl H, Siimes M, Heikinheimo M. Anorectal function in adults operated for a benign sacrococcygeal teratoma. J Pediatr Surg. 1993 Sep;28(9):1165-7. | CrossRef | PubMed |
  18. Lahdenne P, Wikström S, Heikinheimo M, Marttinen E, Siimes MA. Late urologic sequelae after surgery for congenital sacrococcygeal teratoma. Pediatr Surg Int. 1992;7(3):195- 8. | CrossRef |
  19. Schropp KP, Lobe TE, Rao B, Mutabagani K, Kay GA, Gilchrist BF, et al. Sacrococcygeal teratoma: the experience of four decades. J Pediatr Surg. 1992 Aug;27(8):1075-8; discussion 1078-9. | CrossRef | PubMed |
  20. Tuladhar R, Patole SK, Whitehall JS. Sacrococcygeal teratoma in the perinatal period. Postgrad Med J. 2000 Dec;76(902):754-9. | CrossRef | PubMed |
  21. Shah RU, Lawrence C, Fickenscher KA, Shao L, Lowe LH. Imaging of pediatric pelvic neoplasms. Radiol Clin North Am. 2011 Jul;49(4):729-48, vi. | CrossRef | PubMed |
  22. Grigore M, Iliev G. Diagnosis of sacrococcygeal teratoma using two and three-dimensional ultrasonography: two cases reported and a literature review. Med Ultrason. 2014 Sep;16(3):274-7. | PubMed | Link |
  23. Holterman AX, Filiatrault D, Lallier M, Youssef S. The natural history of sacrococcygeal teratomas diagnosed through routine obstetric sonogram: a single institution experience. J Pediatr Surg. 1998 Jun;33(6):899-903. | CrossRef | PubMed |
  24. Langer JC, Harrison MR, Schmidt KG, Silverman NH, Anderson RL, Goldberg JD, et al. Fetal hydrops and death from sacrococcygeal teratoma: rationale for fetal surgery. Am J Obstet Gynecol. 1989 May;160(5 Pt 1):1145-50. | CrossRef | PubMed |
  25. Huddart SN, Mann JR, Robinson K, Raafat F, Imeson J, Gornall P, et al. Sacrococcygeal teratomas: the UK Children's Cancer Study Group's experience. I. Neonatal. Pediatr Surg Int. 2003 Apr;19(1-2):47-51. | PubMed |
  26. Albin A, Isaacs H Jr. Germ cell tumor. In: Pizzo PA. Poplack DG, eds. Principles and Practice of Pediatric Oncology. 2nd ed. Philadelphia: JB Lippincott, 1993:867-887.
  27. Instituto Nacional de Cáncer. De los Institutos Nacionales de Salud de los EE. UU. Tumores extracraneales de células germinativas en la niñez: Tratamiento (PDQ®). cancer.gov [on line]. | Link |
  28. Marina N, Fontanesi J, Kun L, Rao B, Jenkins JJ, Thompson EI, et al. Treatment of childhood germ cell tumors. Review of the St. Jude experience from 1979 to 1988. Cancer. 1992 Nov 15;70(10):2568-75. | PubMed |
  29. Wu JT, Book L, Sudar K. Serum alpha fetoprotein (AFP) levels in normal infants. Pediatr Res. 1981 Jan;15(1):50-2. | PubMed |
  30. Marina NM, Cushing B, Giller R, Cohen L, Lauer SJ, Ablin A, et al. Complete surgical excision is effective treatment for children with immature teratomas with or without malignant elements: A Pediatric Oncology Group/Children's Cancer Group Intergroup Study. J Clin Oncol. 1999 Jul;17(7):2137-43. | PubMed |
  31. Göbel U, Calaminus G, Schneider DT, Koch S, Teske C, Harms D. The malignant potential of teratomas in infancy and childhood: the MAKEI experiences in non-testicular teratoma and implications for a new protocol. Klin Padiatr. 2006 Nov-Dec;218(6):309-14. | CrossRef | PubMed |
Gabra HO, Jesudason EC, McDowell HP, Pizer BL, Losty PD. Sacrococcygeal teratoma--a 25-year experience in a UK regional center. J Pediatr Surg. 2006 Sep;41(9):1513-6. | PubMed |

Berbel Tornero O, Ferrís i Tortajada J, Ortega García JA. [Neonatal neoplasms: a single-centre experience]. An Pediatr (Barc). 2007 Jul;67(1):85-6. | PubMed | Link |

Hase T, Kodama M, Kishida A, Shimadera S, Aotani H, Shimada M, et al. Techniques available for the management of massive sacrococcygeal teratomas. Pediatr Surg Int. 2001 Mar;17(2-3):232-4. | PubMed |

Gutiérrez Ureña JA, Calderón Elvir CA, Ruano Aguilar J, Vásquez Gutiérrez E, Duarte Valencia JC, Barraza León. Teratoma sacrococcígeo: informe de veinte casos. Act Med Grupo Angeles. 2003;1(2):82-86. | Link |

Bruno Catoia F, Ricardo Ibañez G, Marco Valenzuela A. Teratoma sacrococcígeo: reporte de un caso, desde el diagnóstico antenatal a la resección y reconstrucción primaria. Revista Anacem. 2013;VII(2013):27-31. | Link |

Isaacs H Jr. Perinatal (fetal and neonatal) germ cell tumors. J Pediatr Surg. 2004 Jul;39(7):1003-13. | CrossRef | PubMed |

Gucciardo L, Uyttebroek A, De Wever I, Renard M, Claus F, Devlieger R, et al. Prenatal assessment and management of sacrococcygeal teratoma. Prenat Diagn. 2011 Jul;31(7):678-88. | CrossRef | PubMed |

Victoria Miñana I, Ruiz Company S. Teratomas en la Infancia. Arch Dom Pediatr. 1984 Ene-abr;20(1):15-22. | Link |

Virchow R. Über die sakralgeschwulst des schliewener kindes. Klin Wochenschr. 1869;46:132.

Bianchi DW, Crombleholme TM, D'Alton ME. Fetology: diagnosis and management of the fetal patient. 2nd ed. New York: McGraw-Hill Medical Pub. Division; 2010: xix.

Altman RP, Randolph JG, Lilly JR. Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973. J Pediatr Surg. 1974 Jun;9(3):389-98. | PubMed |

Quevedo R. Tumores de células germinales. Rev Peruana Radiol. 1999;3(7). | Link |

Benachi A, Durin L, Vasseur Maurer S, Aubry MC, Parat S, Herlicoviez M, et al. Prenatally diagnosed sacrococcygeal teratoma: a prognostic classification. J Pediatr Surg. 2006 Sep;41(9):1517-21. | CrossRef | PubMed |

Havránek P, Rubenson A, Güth D, Frenckner B, Olsen L, Kornfält SA. et al. Sacrococcygeal teratoma in Sweden: a 10-year national retrospective study. J Pediatr Surg. 1992 Nov;27(11):1447-50. | CrossRef | PubMed |

Rescorla FJ, Sawin RS, Coran AG, Dillon PW, Azizkhan RG. Long-term outcome for infants and children with sacrococcygeal teratoma: a report from the Childrens Cancer Group. J Pediatr Surg. 1998 Feb;33(2):171-6. | CrossRef | PubMed |

Malone PS, Spitz L, Kiely EM, Brereton RJ, Duffy PG, Ransley PG. The functional sequelae of sacrococcygeal teratoma. J Pediatr Surg. 1990 Jun;25(6):679-80. | CrossRef | PubMed |

Rintala R, Lahdenne P, Lindahl H, Siimes M, Heikinheimo M. Anorectal function in adults operated for a benign sacrococcygeal teratoma. J Pediatr Surg. 1993 Sep;28(9):1165-7. | CrossRef | PubMed |

Lahdenne P, Wikström S, Heikinheimo M, Marttinen E, Siimes MA. Late urologic sequelae after surgery for congenital sacrococcygeal teratoma. Pediatr Surg Int. 1992;7(3):195- 8. | CrossRef |

Schropp KP, Lobe TE, Rao B, Mutabagani K, Kay GA, Gilchrist BF, et al. Sacrococcygeal teratoma: the experience of four decades. J Pediatr Surg. 1992 Aug;27(8):1075-8; discussion 1078-9. | CrossRef | PubMed |

Tuladhar R, Patole SK, Whitehall JS. Sacrococcygeal teratoma in the perinatal period. Postgrad Med J. 2000 Dec;76(902):754-9. | CrossRef | PubMed |

Shah RU, Lawrence C, Fickenscher KA, Shao L, Lowe LH. Imaging of pediatric pelvic neoplasms. Radiol Clin North Am. 2011 Jul;49(4):729-48, vi. | CrossRef | PubMed |

Grigore M, Iliev G. Diagnosis of sacrococcygeal teratoma using two and three-dimensional ultrasonography: two cases reported and a literature review. Med Ultrason. 2014 Sep;16(3):274-7. | PubMed | Link |

Holterman AX, Filiatrault D, Lallier M, Youssef S. The natural history of sacrococcygeal teratomas diagnosed through routine obstetric sonogram: a single institution experience. J Pediatr Surg. 1998 Jun;33(6):899-903. | CrossRef | PubMed |

Langer JC, Harrison MR, Schmidt KG, Silverman NH, Anderson RL, Goldberg JD, et al. Fetal hydrops and death from sacrococcygeal teratoma: rationale for fetal surgery. Am J Obstet Gynecol. 1989 May;160(5 Pt 1):1145-50. | CrossRef | PubMed |

Huddart SN, Mann JR, Robinson K, Raafat F, Imeson J, Gornall P, et al. Sacrococcygeal teratomas: the UK Children's Cancer Study Group's experience. I. Neonatal. Pediatr Surg Int. 2003 Apr;19(1-2):47-51. | PubMed |

Albin A, Isaacs H Jr. Germ cell tumor. In: Pizzo PA. Poplack DG, eds. Principles and Practice of Pediatric Oncology. 2nd ed. Philadelphia: JB Lippincott, 1993:867-887.

Instituto Nacional de Cáncer. De los Institutos Nacionales de Salud de los EE. UU. Tumores extracraneales de células germinativas en la niñez: Tratamiento (PDQ®). cancer.gov [on line]. | Link |

Marina N, Fontanesi J, Kun L, Rao B, Jenkins JJ, Thompson EI, et al. Treatment of childhood germ cell tumors. Review of the St. Jude experience from 1979 to 1988. Cancer. 1992 Nov 15;70(10):2568-75. | PubMed |

Wu JT, Book L, Sudar K. Serum alpha fetoprotein (AFP) levels in normal infants. Pediatr Res. 1981 Jan;15(1):50-2. | PubMed |

Marina NM, Cushing B, Giller R, Cohen L, Lauer SJ, Ablin A, et al. Complete surgical excision is effective treatment for children with immature teratomas with or without malignant elements: A Pediatric Oncology Group/Children's Cancer Group Intergroup Study. J Clin Oncol. 1999 Jul;17(7):2137-43. | PubMed |

Göbel U, Calaminus G, Schneider DT, Koch S, Teske C, Harms D. The malignant potential of teratomas in infancy and childhood: the MAKEI experiences in non-testicular teratoma and implications for a new protocol. Klin Padiatr. 2006 Nov-Dec;218(6):309-14. | CrossRef | PubMed |