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Sacrococcygeal teratoma: an analysis of 37 cases
Authors:Singhal  G. D.  Gopal  S. C.  Gangopadhyay  A. N.
Affiliation:(1) Pediatric Surgery Section, Department of Surgery, Institute of Medical Sciences, Banaras Hindu University, 921005 Varanasi
Abstract:
Thirty seven cases of sacrococcygeal teratoma were treated in Children Hospital, B.H.U. from 1974 to 1982. Thirty-one of these were benign and 6 were malignant. In thirty two cases a swelling was present since birth and in the remaining the swelling appeared later and these all were malignant. Most of them (70%) were below one year on admission. Usual presentation was a swelling on the sacrococcygeal region (94·6%) with an intrapelvic extension. Immature neural elements were present only in malignant cases. Benign treatomas were treated by early total surgical excision; recurrence was noted in one case only. Malignant cases however showed poor results following surgical excision and post-operative radiotherapy and chemotherapy.
Keywords:Sacrococcygeal teratoma  clinical presentation  management
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