Surgical treatment of a type IV cystic sacrococcygeal teratoma with intraspinal extension utilizing a posterior-anterior-posterior approach: a case report

Aaron Wessell, David S. Hersh, Cheng Ying Ho, Kimberly M. Lumpkins, Mari L.A. Groves

Research output: Contribution to journalArticlepeer-review

Abstract

Type IV sacrococcygeal teratoma with intraspinal involvement is rare and to our knowledge has not been reported previously in the literature. The authors present the case of a 2-month-old infant with a type IV sacrococcygeal teratoma diagnosed on prenatal ultrasound. Postnatal MRI revealed intraspinal extension through an enlarged sacral neuroforamina on the right side. On surgical exploration, the authors discovered a dorsal cystic tumor involving the sacral spine that extended through an enlarged S4 foramen to a large presacral component. The tumor was successfully removed to achieve a complete en bloc surgical resection. The authors review the epidemiology, pathophysiology, and treatment of sacrococcygeal teratomas with intraspinal extension.

Original languageEnglish (US)
Pages (from-to)977-982
Number of pages6
JournalChild's Nervous System
Volume34
Issue number5
DOIs
StatePublished - May 1 2018

Keywords

  • Intraspinal involvement
  • Sacral spine
  • Sacrococcygeal teratoma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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