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Early Delivery of Sacrococcygeal Teratoma with Intraspinal Extension.
- Source :
-
Fetal diagnosis and therapy [Fetal Diagn Ther] 2018; Vol. 43 (1), pp. 72-76. Date of Electronic Publication: 2017 May 03. - Publication Year :
- 2018
-
Abstract
- Sacrococcygeal teratoma (SCT) with intraspinal extension is rare. There is a risk of paraplegia associated with prolonged spinal cord compression. We present the case of an infant with a prenatal diagnosis of an SCT with a large intraspinal component that was causing compression of the lower spinal cord. Ultrasound at 33 weeks showed bilateral lower extremity and foot movement without hydrops or cardiac failure. Multidisciplinary decision was made to administer betamethasone and proceed with Cesarean delivery at 34 weeks. A vigorous live-born female was delivered and a multilevel laminectomy was performed at day of life 4. The pelvic resection was performed at 4 months. Pathology revealed mature teratoma. She had an uncomplicated postoperative course, is ambulatory, continent of stool, and has no evidence of recurrence. We conclude that intraspinal extension of SCT should be evaluated prenatally with ultrasound and fetal MRI. If there is concern for spinal cord compression, early delivery and urgent decompressive laminectomy may diminish the neurologic sequelae of prolonged spinal cord compression. Since these cases are rare, risks of prematurity need to be weighed against the neurologic risks. These infants should be treated with a multidisciplinary approach.<br /> (© 2017 S. Karger AG, Basel.)
- Subjects :
- Adult
Female
Gestational Age
Humans
Infant, Newborn
Magnetic Resonance Imaging
Neoplasm Invasiveness
Pregnancy
Sacrococcygeal Region
Spinal Cord Compression diagnostic imaging
Spinal Cord Compression etiology
Spinal Neoplasms complications
Spinal Neoplasms diagnostic imaging
Spinal Neoplasms pathology
Teratoma complications
Teratoma diagnostic imaging
Treatment Outcome
Ultrasonography, Prenatal
Cesarean Section
Laminectomy
Premature Birth
Spinal Cord Compression surgery
Spinal Neoplasms therapy
Teratoma therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1421-9964
- Volume :
- 43
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Fetal diagnosis and therapy
- Publication Type :
- Academic Journal
- Accession number :
- 28463844
- Full Text :
- https://doi.org/10.1159/000472714