1- Department of Pediatric Surgery, School of Medicine, Mother and Child Hospital, Mohammed VI Teaching Hospital, University Cadi Ayyad, Marrakesh, Morocco.
2- Department of Pediatric Surgery, School of Medicine, Mother and Child Hospital, Mohammed VI Teaching Hospital, University Cadi Ayyad, Marrakesh, Morocco. , mouladsaiad@gmail.com
Abstract: (2650 Views)
Background and Importance: Sacrococcygeal Teratoma (SCT) with medular invasion is rare.
Case Presentation: We report a case of an 11-month male infant, with no prenatal history of any abnormality, presenting since birth, a mass in the buttock extended to retrorectum associated with a right side hypotonic limb and monoplegia. Medullar and abdominal pelvic Magnetic Resonance Imaging (MRI) showed a sacrococcygeal tissue mass and intradural lumbosacral invasion with a high level of alpha-fetoprotein. Surgical excision was done successfully with an uneventful follow-up.
Conclusion: Despite of the intradural invasion, those SCT are in major cases mature and present low risk of malignancy or recurrence.
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• Sacrococcygeal Teratoma (SCT) is the most common type of teratoma, developed from the coccyx.
• Sacrococcygeal teratoma with medullar extension is rare.
• It should be managed adopting a multidisciplinary approach with joint cooperation of pediatric surgeon, neurosurgeon, and radiologist to minimize the risk of permanent neurological deficits and recurrence.
Type of Study:
Case report |