CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2019; 40(04): 573-575
DOI: 10.4103/ijmpo.ijmpo_16_18
Case Report

Giant Sacrococcygeal Teratoma in Neonate: A Case Report and Review of Literature

Rajkumar Motiram Meshram
Department of Paediatric, Neonatology Unit, Nagpur, Maharashtra, India
,
R Nikila
Department of Paediatric, Neonatology Unit, Nagpur, Maharashtra, India
,
Nilesh Nagdive
Department of Paediatric Surgery, Govt. Medical College, Nagpur, Maharashtra, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Sacrococcygeal teratoma is considered the most common tumor in the neonatal period with a female-to-male ratio of 3–4:1. They are believed to arise early in gestation from the totipotential cells of Hensen’s node and the derived ectoderm, mesoderm, and endoderm. A 2.25 kg cesarean-delivered male, term neonate presented with large nonpulsatile, globular erythematous mass with lobulated surface and variable consistency. Magnetic resonance imaging of the lumbosacral spine showed multilocular cystic and solid lesion with foci of calcification and subtle communication with spinal canal. Histopathological examination showed mature endodermal, ectodermal, and mesenchymal elements such as cartilage, glial tissues, keratin cyst, and glandular elements with focus of primary neuroepithelial and pancreatic elements. Entire tumor was excised. The baby expired secondary to wound infection. Early diagnosis by improving antenatal care with timely surgical intervention and good nursing care improves the outcome.



Publication History

Received: 17 June 2018

Accepted: 27 April 2018

Article published online:
03 June 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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