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Open Access 01-05-2018 | Case Report

Surgical treatment of a type IV cystic sacrococcygeal teratoma with intraspinal extension utilizing a posterior-anterior-posterior approach: a case report

Authors: Aaron Wessell, David S. Hersh, Cheng-Ying Ho, Kimberly M. Lumpkins, Mari L. A. Groves

Published in: Child's Nervous System | Issue 5/2018

Abstract

Type IV sacrococcygeal teratoma with intraspinal involvement is rare and to our knowledge has not been reported previously in the literature. The authors present the case of a 2-month-old infant with a type IV sacrococcygeal teratoma diagnosed on prenatal ultrasound. Postnatal MRI revealed intraspinal extension through an enlarged sacral neuroforamina on the right side. On surgical exploration, the authors discovered a dorsal cystic tumor involving the sacral spine that extended through an enlarged S4 foramen to a large presacral component. The tumor was successfully removed to achieve a complete en bloc surgical resection. The authors review the epidemiology, pathophysiology, and treatment of sacrococcygeal teratomas with intraspinal extension.

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Title: Surgical treatment of a type IV cystic sacrococcygeal teratoma with intraspinal extension utilizing a posterior-anterior-posterior approach: a case report
Authors: Aaron Wessell
David S. Hersh
Cheng-Ying Ho
Kimberly M. Lumpkins
Mari L. A. Groves
Publication date: 01-05-2018
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 5/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-018-3718-9

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