TY - JOUR AU - Rattan, Kamal Nain AU - Yadav, Hemant AU - Srivastava, Divya AU - Rattan, Ananta PY - 2018/12/02 Y2 - 2024/03/28 TI - Childhood sacrococcygeal teratoma: a clinicopathological study JF - Journal of Pediatric and Neonatal Individualized Medicine (JPNIM) JA - J Pediatr Neonat Individual Med VL - 8 IS - 1 SE - DO - 10.7363/080116 UR - https://jpnim.com/index.php/jpnim/article/view/080116 SP - e080116 AB - <p><strong>Background:</strong> Sacrococcygeal teratoma (SCT) is a relatively uncommon tumor affecting neonates, infants, and children with a female preponderance. Age is an important predictor of malignancy in SCT. Early antenatal diagnosis influences the management and provides a better outcome.</p><p><strong>Aim: </strong>The present study was carried out to describe in detail various clinicopathological features and outcome of SCT patients; as many reports are available from the West, there is a paucity of literature on this entity from the Eastern region, especially India, which has a unique socioeconomic and demographic background.</p><p><strong>Materials and methods:</strong> The study included 52 patients of SCT operated for 16 years from 2000 to 2015. A retrospective review of various parameters was done from the medical case records available in the Department of Pediatric Surgery (PGIMS, Rohtak, Haryana, India).</p><p><strong>Result:</strong> There were 40 females and 12 males with age ranging from newborn to 13 years. Thirty-three children (63%) presented in the neonatal age group. There were 40 cases of benign (mature), 7 immature and 5 malignant teratomas. Four cases had a recurrence on follow-up. Out of 52 patients, 7 died while the others are doing well on follow-up.</p><p><strong>Conclusion:</strong> A prenatal diagnosis of SCT is essential for reducing morbidity and mortality. Delayed presentation and the presence of malignant changes continue to be poor prognostic factors. Strict follow-up by clinical examination, ultrasound and tumor markers is mandatory to look for any recurrence.</p> ER -