Critical elements of pediatrics sacrococcygeal germ cell tumor surgery.

Autor: Rescorla F; Riley Hospital for Children, Indianapolis, IN 46202, USA. Electronic address: frescorl@iupui.edu., Dicken B; Stollery Children's Hospital, Edmonton, AB T6G-2B7, USA., Billmire D; Riley Hospital for Children, Indianapolis, IN 46202, USA., Weil B; Boston Children's Hospital, Boston, MA 02115, USA., Stark R; Seattle Children's Hospital and the University of Washington, Seattle, WA 98105, USA., Madenci A; Seattle Children's Hospital and the University of Washington, Seattle, WA 98105, USA., Ramaraj A; University of Connecticut Health, Farmington, CT 06030, USA.
Jazyk: angličtina
Zdroj: Seminars in pediatric surgery [Semin Pediatr Surg] 2023 Oct; Vol. 32 (5), pp. 151344. Date of Electronic Publication: 2023 Nov 21.
DOI: 10.1016/j.sempedsurg.2023.151344
Abstrakt: Sacrococcygeal teratoma is the most common extragonadal germ cell tumor in the pediatric population, and accounts for approximately 70% of all teratomas in childhood. 1 , 2 They present in two distinct phases, with most cases seen in neonates with large predominately exophytic tumors, often detected in utero on prenatal sonography or at birth. A smaller cohort presents in older infants and children with primarily hidden tumors in the pelvis which have a much higher rate of malignancy. The primary surgical objective is complete tumor resection without compromise to critical structures or function. Herein we outline the critical elements of tumor resection and management of sacrococcygeal germ cell tumors with a focus on the technical aspects of this tumor across a range of presentations.
(Copyright © 2023. Published by Elsevier Inc.)
Databáze: MEDLINE
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