Malignant sacro-coccygeal teratoma with growing teratoma syndrome

A 13-month-old female with sacro-coccygeal tumor type II by Altman, was proven by biopsy to be a malignant germ cell tumor. Serum tumor markers were normal. During neo-adjuvant chemotherapy visible tumor progression was confirmed radiologically and progressed despite changing chemotherapy. The exter...

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Main Authors: Tamador Al-Shamaileh, Fatena Ajlouni, Rasha Deebajah, Iyad Sultan, Mohammad M. Saleem, Khalil Ghandour
Format: Article
Language:English
Published: Elsevier 2019-07-01
Series:Journal of Pediatric Surgery Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576618303464
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author Tamador Al-Shamaileh
Fatena Ajlouni
Rasha Deebajah
Iyad Sultan
Mohammad M. Saleem
Khalil Ghandour
author_facet Tamador Al-Shamaileh
Fatena Ajlouni
Rasha Deebajah
Iyad Sultan
Mohammad M. Saleem
Khalil Ghandour
author_sort Tamador Al-Shamaileh
collection DOAJ
description A 13-month-old female with sacro-coccygeal tumor type II by Altman, was proven by biopsy to be a malignant germ cell tumor. Serum tumor markers were normal. During neo-adjuvant chemotherapy visible tumor progression was confirmed radiologically and progressed despite changing chemotherapy. The external growing mass forced its way out of the skin. More importantly, CT showed resolution of the pelvic component. Complete tumor resection with coccygectomy was performed. Histopathology showed mature teratoma, immature cells in the coccyx and no malignant germ cells. Three months after ending her therapy she remains in remission. We report the first case of growing teratoma syndrome (GTS) in the coccygeal region. Keywords: Sacro-coccygeal teratoma, Growing teratoma syndrome
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spelling doaj.art-f201908a3de549dfa55b889f343e37c82022-12-21T18:42:09ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662019-07-0146Malignant sacro-coccygeal teratoma with growing teratoma syndromeTamador Al-Shamaileh0Fatena Ajlouni1Rasha Deebajah2Iyad Sultan3Mohammad M. Saleem4Khalil Ghandour5Pediatric Surgery Department, King Hussein Cancer Center, Amman, Jordan; Corresponding author. General Surgery Specialist, King Hussein Cancer Center-Pediatric Surgery Department Jordan.Radiology Department, King Hussein Cancer Center, Amman, JordanPediatric Oncology Department, King Hussein Cancer Center, Amman, JordanPediatric Oncology Department, King Hussein Cancer Center, Amman, JordanPediatric Surgery Department, King Hussein Cancer Center, Amman, JordanPediatric Surgery Department, King Hussein Cancer Center, Amman, JordanA 13-month-old female with sacro-coccygeal tumor type II by Altman, was proven by biopsy to be a malignant germ cell tumor. Serum tumor markers were normal. During neo-adjuvant chemotherapy visible tumor progression was confirmed radiologically and progressed despite changing chemotherapy. The external growing mass forced its way out of the skin. More importantly, CT showed resolution of the pelvic component. Complete tumor resection with coccygectomy was performed. Histopathology showed mature teratoma, immature cells in the coccyx and no malignant germ cells. Three months after ending her therapy she remains in remission. We report the first case of growing teratoma syndrome (GTS) in the coccygeal region. Keywords: Sacro-coccygeal teratoma, Growing teratoma syndromehttp://www.sciencedirect.com/science/article/pii/S2213576618303464
spellingShingle Tamador Al-Shamaileh
Fatena Ajlouni
Rasha Deebajah
Iyad Sultan
Mohammad M. Saleem
Khalil Ghandour
Malignant sacro-coccygeal teratoma with growing teratoma syndrome
Journal of Pediatric Surgery Case Reports
title Malignant sacro-coccygeal teratoma with growing teratoma syndrome
title_full Malignant sacro-coccygeal teratoma with growing teratoma syndrome
title_fullStr Malignant sacro-coccygeal teratoma with growing teratoma syndrome
title_full_unstemmed Malignant sacro-coccygeal teratoma with growing teratoma syndrome
title_short Malignant sacro-coccygeal teratoma with growing teratoma syndrome
title_sort malignant sacro coccygeal teratoma with growing teratoma syndrome
url http://www.sciencedirect.com/science/article/pii/S2213576618303464
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AT rashadeebajah malignantsacrococcygealteratomawithgrowingteratomasyndrome
AT iyadsultan malignantsacrococcygealteratomawithgrowingteratomasyndrome
AT mohammadmsaleem malignantsacrococcygealteratomawithgrowingteratomasyndrome
AT khalilghandour malignantsacrococcygealteratomawithgrowingteratomasyndrome