Rochín-Benoit A, Rascón-Alcántar A, Pérez-Borbón G

Language: Spanish
References: 8
Page: 28-31
PDF size: 298.04 Kb.

ABSTRACT

Sacrococcygeal teratoma is the most common extragonadal germ cell tumor in newborns and infants. It occurs in 1 in 40,000 births, and the male-female ratio is approximately 1:3. Risk factors related to prognosis include tumor size, growth rate, histologic type, and extragonadal tumor component. Sacrococcygeal teratoma is thought to arise through epigenetic reprogramming of the first primordial germ cells to migrate from the yolk sac to the gonadal ridges. For this type of tumors, it is reasonable to consider a cesarean section depending on the size of the tumor, thus avoiding tumor rupture, tumor bleeding, and difficulty at delivery.

REFERENCES

1. Virchow R. Uber die sacralgeschwulst des schliewenerkindes. € Berl. Klin. Wochenschr. 1869; 6: 193.

2. Taguchi T. Sacrococcygeal teratoma: Nationwidesurvey and guidelines. Pediatr Int. 2019 Jul; 61(7):633.

3. Yoneda A, Usui N, Taguchi T, et al. Impact of thehistological type on the prognosis of patients withprenatally diagnosed sacrococcygeal teratomas:The results of a nationwide Japanese survey. PediatrSurg Int. 2013; 29: 1119-25.

4. Baró AM, Pérez SP, Costa MM, Heredia CL, AzuaraLS, Juanos JL, Lapiedra MZ. Sacrococcygeal teratomawith preterm delivery: a case report. J MedCase Rep. 2020 Jun 19; 14(1): 72.

5. Phi JH. Sacrococcygeal Teratoma: A Tumor at theCenter of Embryogenesis. J Korean NeurosurgSoc. 2021 May; 64(3): 406-413.

6. Zheng XQ, Yan JY, Xu RL, Wang XC, Chen X, HuangKH. A Clinical Analysis of the Diagnosis and Treatmentof Fetal Sacrococcygeal Teratomas. CancerManag Res. 2020 Dec 23; 12: 13185-13193.

7. Umino S, Tajiri T, Usui N, Tamura M, Sago H, Ono S,Nosaka S, Yoneda A, Souzaki R, Higashi M, SakaiK, Takahashi K, Sugiura T, Taguchi T. Japanese clinicalpractice guidelines for sacrococcygeal teratoma,2017. Pediatr Int. 2019 Jul; 61(7): 672-678.

8. Schneider DT, Wessalowski R, Calaminus G, et al.Treatment of recurrent malignant sacrococcygealgerm cell tumors: Analysis of 22 patients registeredin the German protocols MAKEI 83/86, 89, and 96.J Clin Oncol. 2001; 19: 1951-60.