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Successful laparoscopic resection of a sacrococcygeal teratoma in an adult: Report of a case

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Abstract

Sacrococcygeal teratoma is a relatively rare congenital retroperitoneal tumor in adults. The standard treatment is a complete tumor resection. This report describes the successful laparoscopic resection of a sacrococcygeal teratoma. The patient was a 27-year-old woman with a well-demarcated cystic mass, 6 cm in diameter, in the retroperitoneum overlying the anterior surface of the sacrum. The mass was resected laparoscopically. A histopathological examination showed a mature teratoma. The magnifying function of the laparoscope allowed an en bloc resection in the narrow pelvic cavity, without damaging the tumor. The aesthetic outcome was excellent. The patient remains relapse-free at 1 year 6 months after surgery.

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References

  1. Localio SA, Francis KC, Rossano PG. Abdominosacral resection of sacrococcygeal chordoma. Ann Surg 1967;166:394–400.

    Article  PubMed  CAS  Google Scholar 

  2. Gordon PH, Nivatvongs S. Retrorectal tumors. Principles and practice of surgery for the colon, rectum and anus. New York: Informa Healthcare; 2007. p. 353–357.

    Google Scholar 

  3. Killen CD, Jackson LM. Sacrococcygeal teratoma in the adult. Arch Surg 1964;88:425–433.

    PubMed  CAS  Google Scholar 

  4. Ahmed HA, Pollock DJ. Malignant sacrococcygeal teratoma in the adult. Histopathology 1985;9:359–363.

    Article  PubMed  CAS  Google Scholar 

  5. Altman RP, Randolph JG, Lilly JR. Sacrococcygeal teratoma. J Pediatric Surg 1974;9:389–398.

    Article  CAS  Google Scholar 

  6. Monteiro M, Cunha TM, Catarino A, Tome V. Sacrococcygeal teratoma with malignant transformation in an adult female: CT and MRI findings. Br J Radiol 2002;75:620–623.

    PubMed  CAS  Google Scholar 

  7. Elizabeth WN, Pierluigi JL, Patrick JLS. Sacrococcygeal teratoma in adults. Cancer 1999;86:1198–1202.

    Article  Google Scholar 

  8. Chen Y, Xu H, Li Y, Li J, Wang D, Yuan J, et al. Laparoscopic resection of presacral teratomas. J Minim Invas Gynecol 2008;15:649–651.

    Article  Google Scholar 

  9. Bax NMA, van der Zee DC. The laparoscopic approach to sacro-coccygeal teratomas. Surg Endosc 2004;18:128–130.

    Article  PubMed  CAS  Google Scholar 

  10. Lukish JR, Powell DM. Laparoscopic ligation of the median sacral artery before resection of a sacrococcygeal teratoma. J Pediatric Surg 2004;39:1288–1290.

    Article  Google Scholar 

  11. Lee RA, Symmonds RE. Presacral tumors in the female: clinical presentation, surgical management, and results. Obstet Gynecol 1988;71:216–221.

    PubMed  CAS  Google Scholar 

  12. Jao SW, Beart RW Jr, Spencer RJ, Reiman HM, Ilstrup DM. Retrorectal tumors: Mayo Clinic experience, 1960–1979. Dis Colon Rectum 1985;28:644–652.

    Article  PubMed  CAS  Google Scholar 

  13. Can MF, Sevinc MM, Yilmaz M. Comparison of Karydakis flap reconstruction versus primary midline closure in sacrococcygeal pilonidal disease: results of 200 military service members. Surg Today 2009;39(7):580–586.

    Article  PubMed  Google Scholar 

  14. Lack EE, Glaun RS, Hefter LG, Seneca RP, Steigman C, Athari F. Late occurrence of malignancy following resection of a histologically mature sacrococcygeal teratoma. Report of a case and literature review. Arch Pathol Lab Med 1993;117:724–728.

    PubMed  CAS  Google Scholar 

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Tsutsui, A., Nakamura, T., Mitomi, H. et al. Successful laparoscopic resection of a sacrococcygeal teratoma in an adult: Report of a case. Surg Today 41, 572–575 (2011). https://doi.org/10.1007/s00595-010-4274-4

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  • DOI: https://doi.org/10.1007/s00595-010-4274-4

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