Sacrococcygeal Teratoma Presenting with Vaginal Discharge and Polyp in an Infant.

Autor: Ladenhauf HN; Department of Pediatric and Adolescent Surgery, Paracelsus Medical University, Salzburg, Austria. Electronic address: h.ladenhauf@salk.at., Brandtner MG; Department of Pediatric and Adolescent Surgery, Paracelsus Medical University, Salzburg, Austria., Schimke C; Department of Pediatric and Adolescent Surgery, Paracelsus Medical University, Salzburg, Austria., Ardelean MA; Department of Pediatric and Adolescent Surgery, Paracelsus Medical University, Salzburg, Austria., Metzger R; Department of Pediatric and Adolescent Surgery, Paracelsus Medical University, Salzburg, Austria.
Jazyk: angličtina
Zdroj: Journal of pediatric and adolescent gynecology [J Pediatr Adolesc Gynecol] 2018 Jun; Vol. 31 (3), pp. 318-320. Date of Electronic Publication: 2017 Dec 18.
DOI: 10.1016/j.jpag.2017.12.004
Abstrakt: Background: Sacrococcygeal teratoma accounts for the most common solid tumor in neonates. Because of improved technology, 50%-70% of cases can be diagnosed antenatally during routine ultrasound screenings. If not diagnosed antenatally, clinical findings at birth are distinct in most cases including a palpable or visible mass.
Case: We report an unusual case of a 1-year-old girl who presented with persistent vaginal discharge leading to diagnosis of a mucosal polypoid lesion of the vagina, ultimately revealing a hidden sacrococcygeal teratoma.
Summary and Conclusion: We suggest thorough investigation of all infants who present with purulent discharge and recurrent vaginal mass; sacrococcygeal teratoma should routinely be considered as a differential diagnosis.
(Copyright © 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE