Sacrococcygeal teratoma: evaluation of its approach, treatment and follow-up in two reference children cancer centers in Brazil / Rio de Janeiro
ABSTRACT Introduction: sacrococcygeal teratoma (TSC) is the most common tumor of the neonatal period. Alphafetoprotein is an important tumor marker and is used in the follow-up period as a marker of malignancy. The complete surgical resection of the tumor associated with coccygectomy is the standa...
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| Format: | Article |
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Colégio Brasileiro de Cirurgiões
2022-09-01
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100234&tlng=pt |
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| author | VANESSA DO NASCIMENTO SANTOS SIMONE DE OLIVEIRA COELHO ALAN ARAUJO VIEIRA |
| author_facet | VANESSA DO NASCIMENTO SANTOS SIMONE DE OLIVEIRA COELHO ALAN ARAUJO VIEIRA |
| author_sort | VANESSA DO NASCIMENTO SANTOS |
| collection | DOAJ |
| description | ABSTRACT Introduction: sacrococcygeal teratoma (TSC) is the most common tumor of the neonatal period. Alphafetoprotein is an important tumor marker and is used in the follow-up period as a marker of malignancy. The complete surgical resection of the tumor associated with coccygectomy is the standard treatment and chemotherapy in different stages are necessary. Follow-up consists of serial exam: tumor markers, imaging searching to possible metastasis sites, in addition to a complete physical examination. Methodology: a descriptive, retrospective, study was carried out by analyzing a chart of 25 patients of two different reference children cancer center; with TSC in the State of Rio de Janeiro from 2004 to 2019. The clinical and epidemiological data collected were described and a comparison was made between these two centers studied. Results: the sociodemographic characteristics found were similar to those described in the medical literature. Data related to treatment and follow-up, such as the use of chemotherapy, use of specific imaging tests, digital rectal examination, and outpatient follow-up, differed between the two centers studied. There was a 25% loss of follow-up. Conclusion: the characteristic of being a non-cancer center can interfere with the full application of the current protocol for the treatment of sacrococcygeal teratoma. The knowledge of the data of the studied cases can allow the optimization of the approach of the patients with this pathology and generate discussions about the integral application of the specific therapeutic protocol in the medical centers that are qualified for such treatment. |
| first_indexed | 2024-04-11T21:19:40Z |
| format | Article |
| id | doaj.art-a69dda5b8419464cafc757d4608da510 |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-04-11T21:19:40Z |
| publishDate | 2022-09-01 |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-a69dda5b8419464cafc757d4608da5102022-12-22T04:02:41ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462022-09-014910.1590/0100-6991e-20223341-enSacrococcygeal teratoma: evaluation of its approach, treatment and follow-up in two reference children cancer centers in Brazil / Rio de JaneiroVANESSA DO NASCIMENTO SANTOShttps://orcid.org/0000-0003-3843-4085SIMONE DE OLIVEIRA COELHOhttps://orcid.org/0000-0001-8477-1985ALAN ARAUJO VIEIRAhttps://orcid.org/0000-0002-5523-191XABSTRACT Introduction: sacrococcygeal teratoma (TSC) is the most common tumor of the neonatal period. Alphafetoprotein is an important tumor marker and is used in the follow-up period as a marker of malignancy. The complete surgical resection of the tumor associated with coccygectomy is the standard treatment and chemotherapy in different stages are necessary. Follow-up consists of serial exam: tumor markers, imaging searching to possible metastasis sites, in addition to a complete physical examination. Methodology: a descriptive, retrospective, study was carried out by analyzing a chart of 25 patients of two different reference children cancer center; with TSC in the State of Rio de Janeiro from 2004 to 2019. The clinical and epidemiological data collected were described and a comparison was made between these two centers studied. Results: the sociodemographic characteristics found were similar to those described in the medical literature. Data related to treatment and follow-up, such as the use of chemotherapy, use of specific imaging tests, digital rectal examination, and outpatient follow-up, differed between the two centers studied. There was a 25% loss of follow-up. Conclusion: the characteristic of being a non-cancer center can interfere with the full application of the current protocol for the treatment of sacrococcygeal teratoma. The knowledge of the data of the studied cases can allow the optimization of the approach of the patients with this pathology and generate discussions about the integral application of the specific therapeutic protocol in the medical centers that are qualified for such treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100234&tlng=ptTeratomaNeoplasmsNeoplasms, Germ Cell and Embryonal |
| spellingShingle | VANESSA DO NASCIMENTO SANTOS SIMONE DE OLIVEIRA COELHO ALAN ARAUJO VIEIRA Sacrococcygeal teratoma: evaluation of its approach, treatment and follow-up in two reference children cancer centers in Brazil / Rio de Janeiro Revista do Colégio Brasileiro de Cirurgiões Teratoma Neoplasms Neoplasms, Germ Cell and Embryonal |
| title | Sacrococcygeal teratoma: evaluation of its approach, treatment and follow-up in two reference children cancer centers in Brazil / Rio de Janeiro |
| title_full | Sacrococcygeal teratoma: evaluation of its approach, treatment and follow-up in two reference children cancer centers in Brazil / Rio de Janeiro |
| title_fullStr | Sacrococcygeal teratoma: evaluation of its approach, treatment and follow-up in two reference children cancer centers in Brazil / Rio de Janeiro |
| title_full_unstemmed | Sacrococcygeal teratoma: evaluation of its approach, treatment and follow-up in two reference children cancer centers in Brazil / Rio de Janeiro |
| title_short | Sacrococcygeal teratoma: evaluation of its approach, treatment and follow-up in two reference children cancer centers in Brazil / Rio de Janeiro |
| title_sort | sacrococcygeal teratoma evaluation of its approach treatment and follow up in two reference children cancer centers in brazil rio de janeiro |
| topic | Teratoma Neoplasms Neoplasms, Germ Cell and Embryonal |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100234&tlng=pt |
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