Extra-Ordinary Sacrococcygeal Teratoma. A case report and review of the literature

Abstract

Sacrococcygeal teratoma is the most common congenital neoplasm in neonates. It is more common in females and is associated with a higher incidence of congenital anomalies. This tumour is often large, vascular, and carries malignant potentials. Management consists of complete tumour excision and removal of the coccyx. We report a one day old female newborn, part of twin born prematurely at 34 weeks of gestation as a product of caesarean section due to pre labor rupture of membranes at king Hussein Medical Center, presented with a very large soft, cystic, pendulous mass over the sacrococcygeal area, with a circumference of about 30 cm. No neurological deficit was elicited and radiography showed no involvement of the underlying bone. Surgery was performed three days after delivery. The tumour was completely excised enblock with coccyx and sent for histopathological examination. Post-operative period was uneventful and the child was discharged in a good health, and is followed up till now, 4 years after surgery and no any signs of recurrence.

Keywords: congenital anomalies, neoplasm, neonates.