| Autor: |
Diop, Balla, Amadou, Dia Aliou, Oumar, Sow, Pape, Ba Abdoulaye, Chérif, Dial, Phiri, A., Wane, Youhanidou, Serigne, Sarre Mamadou |
| Předmět: |
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| Zdroj: |
Journal of Gynecologic Surgery; Dec2017, Vol. 33 Issue 6, p264-267, 4p |
| Abstrakt: |
Background: A sacrococcygeal teratoma is a rare tumor of the retrorectal space, developed from the residual multipotent cells of the caudal region. This kind of tumor is more frequent in the female and is discovered in the majority of the cases in fetuses and newborns. The growth of the tumor is variable toward the gluteal region and/or toward the pelvic cavity. The risk of malignant transformation increases with age and the number of recurrences. The treatment is essentially surgical by an abdominal or perineal approach, and the excision must be complete to avoid recurrences. Case: This article reports observation of an 18-year-old patient with a giant sacrococcygeal teratoma in the gluteal region. This patient's mass was classified as a type II sacrococcygeal tumor without a pelvic component. Total excision of the mass was performed through a perineal route. Histology testing confirmed that the patient had a mature sacrococcygeal teratoma without neoplastic cells. Results: Postoperation, the patient had recurrent pain of the right buttock and paresthesia that regressed later with medical treatment and follow-up. Histology testing confirmed the presence of a mature sacrococcygeal teratoma without neoplastic cells. Follow-ups every 3 months showed that she had no recurrences. Conclusions: The risk of malignant degeneration is greater in adults and must be taken into account in for management. Complete resection with healthy distal margins is necessary to avoid recurrences. (J GYNECOL SURG 33:264) [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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