Sacrococcygeal teratoma: an experience from a high-volume tertiary institute in North India

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dc.contributor.authorJhalani, Ajayen_US
dc.contributor.authorChaturvedi, Vinitaen_US
dc.contributor.authorTuteja, Neerajen_US
dc.contributor.authorKhare, Atul K.en_US
dc.date.accessioned2024-09-24T07:18:13Z
dc.date.available2024-09-24T07:18:13Z
dc.date.issued2024-04
dc.description.abstractBackground: Sacrococcygeal teratoma (SCT) is the most common tumour in the newborn. The majority is present in neonates as a sacral mass; however, some may be present late with varied clinical presentation. The study aims to evaluate the clinical presentation and management of patients with SCT in our high-volume tertiary institute in North India.Methods: This is an observational study of infants and children treated between May 2021 to April 2022 in the department of pediatric surgery, SMS Medical College, Jaipur (a high-volume tertiary institute in North India). Data collected included antenatal diagnosis, mode of delivery, age at diagnosis, clinical presentation, Altman classification, surgical approach, histopathology and complications. Functional results were evaluated clinically and radiologically.Results: Twenty-one patients (M: F=1:3.2) with a median age of 40 days (range: 1 day to 5.8 years) with SCT were managed at our centre. Nearly, two-thirds of the tumors were either Altman type 1 or 2. Yolk sac tumour was present in 2 (9.5%) patients, while the rest had either mature or immature teratoma. Tumours were removed through a posterior sagittal approach (chevron incision). In five patients, an abdominoperineal approach was used. Early complications were surgical site infection (n=5; 23.8%), superficial wound dehiscence (n=2; 9.5%), complete wound dehiscence (n=1; 2.4%), and urinary tract infection (n=1; 4.7%). Late complications were urinary dribbling or poor stream (5/21; 23.8%) and faecal soiling (n=3; 14.2%).Conclusions: Most of the sacrococcygeal tumours are benign, and the incidence of malignancy increases with age. Morbidity due to associated malformation and treatment may persist in these patients, especially like urinary complications stream (one-fifth) and faecal incontinence (one-seventh), as seen in our series. A proper long-term follow-up is needed for the management of late complications.en_US
dc.identifier.affiliationsDepartment of Pediatrics Surgery, SMS Medical College, Jaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatrics Surgery, SMS Medical College, Jaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatrics Surgery, SMS Medical College, Jaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatrics Surgery, SMS Medical College, Jaipur, Rajasthan, Indiaen_US
dc.identifier.citationJhalani Ajay, Chaturvedi Vinita, Tuteja Neeraj, Khare Atul K. . Sacrococcygeal teratoma: an experience from a high-volume tertiary institute in North India . International Journal of Contemporary Pediatrics. 2024 Apr; 11(4): 388-392en_US
dc.identifier.issn2349-3283
dc.identifier.issn2349-3291
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/228725
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2349-3291.ijcp20240725en_US
dc.subjectSacrococcygeal teratomaen_US
dc.subjectTumouren_US
dc.subjectFecal incontinenceen_US
dc.subjectExploratory laparotomyen_US
dc.subjectComplicationsen_US
dc.subjectMalignancyen_US
dc.titleSacrococcygeal teratoma: an experience from a high-volume tertiary institute in North Indiaen_US
dc.typeJournal Articleen_US
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