Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection
Purpose: to include the most relevant preoperative imaging features of sacrococcygeal teratoma (SCT) in a grading system that would provide guidance to surgeons during excision of such rare tumors. Patients and Methods: The medical records of patients with SCT, who were managed at our hospital duri...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
EL-Med-Pub
2017-10-01
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| Series: | Journal of Neonatal Surgery |
| Subjects: | |
| Online Access: | https://jneonatalsurg.com/ojs/index.php/jns/article/view/404 |
| _version_ | 1818565000493531136 |
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| author | Amr Abdelhamid Abouzeid Shaimaa Abdelsattar Mohammad Mohammed Elsherbeny Nehal A Radwan Osama El-Naggar |
| author_facet | Amr Abdelhamid Abouzeid Shaimaa Abdelsattar Mohammad Mohammed Elsherbeny Nehal A Radwan Osama El-Naggar |
| author_sort | Amr Abdelhamid Abouzeid |
| collection | DOAJ |
| description | Purpose: to include the most relevant preoperative imaging features of sacrococcygeal teratoma (SCT) in a grading system that would provide guidance to surgeons during excision of such rare tumors.
Patients and Methods: The medical records of patients with SCT, who were managed at our hospital during the period 2009 through 2016, were retrospectively reviewed. Only cases of SCT with available preoperative cross-sectional imaging studies (MRI and/or CT scans) were included in the study. The preoperative imaging features were correlated to the operative and pathological findings.
Results: The study included 24 cases of SCT (20 females and 4 males). Their age at presentation ranged from day one to 36 months. The following were identified as relevant preoperative imaging features to be included in our proposed grading system: tumor size, level of deep extension of the tumor, and tumor consistency. Among predominantly cystic SCT, a special subtype C3 could be identified with its characteristic irregular internal cyst wall thickening caused by the in-growth of solid tumor component. These cases were always associated with
immature pathology. Conclusion: MRI is a useful modality in the preoperative assessment of cases of SCT by providing a grading system that can indicate for the prognosis and degree of expected surgical challenge. |
| first_indexed | 2024-12-14T01:35:44Z |
| format | Article |
| id | doaj.art-76e16da6d6504a3489d1b07ab8cf6aee |
| institution | Directory Open Access Journal |
| issn | 2226-0439 |
| language | English |
| last_indexed | 2024-12-14T01:35:44Z |
| publishDate | 2017-10-01 |
| publisher | EL-Med-Pub |
| record_format | Article |
| series | Journal of Neonatal Surgery |
| spelling | doaj.art-76e16da6d6504a3489d1b07ab8cf6aee2022-12-21T23:21:53ZengEL-Med-PubJournal of Neonatal Surgery2226-04392017-10-016410.21699/jns.v6i4.627Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful ResectionAmr Abdelhamid Abouzeid0Shaimaa Abdelsattar Mohammad1Mohammed Elsherbeny2Nehal A Radwan3Osama El-Naggar4Pediatric surgery department Faculty of medicine Ain-Shams universityDepartment of Radiodiagnosis Faculty of medicine Ain-Shams universityPediatric surgery department Faculty of medicine Ain-Shams universityPathology department Faculty of medicine Ain-Shams universityPediatric surgery department Faculty of medicine Ain-Shams universityPurpose: to include the most relevant preoperative imaging features of sacrococcygeal teratoma (SCT) in a grading system that would provide guidance to surgeons during excision of such rare tumors. Patients and Methods: The medical records of patients with SCT, who were managed at our hospital during the period 2009 through 2016, were retrospectively reviewed. Only cases of SCT with available preoperative cross-sectional imaging studies (MRI and/or CT scans) were included in the study. The preoperative imaging features were correlated to the operative and pathological findings. Results: The study included 24 cases of SCT (20 females and 4 males). Their age at presentation ranged from day one to 36 months. The following were identified as relevant preoperative imaging features to be included in our proposed grading system: tumor size, level of deep extension of the tumor, and tumor consistency. Among predominantly cystic SCT, a special subtype C3 could be identified with its characteristic irregular internal cyst wall thickening caused by the in-growth of solid tumor component. These cases were always associated with immature pathology. Conclusion: MRI is a useful modality in the preoperative assessment of cases of SCT by providing a grading system that can indicate for the prognosis and degree of expected surgical challenge.https://jneonatalsurg.com/ojs/index.php/jns/article/view/404TeratomaMRIPrognosisGrading |
| spellingShingle | Amr Abdelhamid Abouzeid Shaimaa Abdelsattar Mohammad Mohammed Elsherbeny Nehal A Radwan Osama El-Naggar Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection Journal of Neonatal Surgery Teratoma MRI Prognosis Grading |
| title | Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection |
| title_full | Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection |
| title_fullStr | Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection |
| title_full_unstemmed | Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection |
| title_short | Preoperative Grading of Sacrococcygeal Teratoma: A Roadmap to Successful Resection |
| title_sort | preoperative grading of sacrococcygeal teratoma a roadmap to successful resection |
| topic | Teratoma MRI Prognosis Grading |
| url | https://jneonatalsurg.com/ojs/index.php/jns/article/view/404 |
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