Sacrococcygeal teratoma: Difference between revisions

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{{Sacrococcygeal teratoma}}
{{Sacrococcygeal teratoma}}
{{CMG}}
{{CMG}}{{AE}}{{MGS}}{{sab}}
 
{{SK}} Fetiform Teratoma, Fetus in fetu


==[[Sacrococcygeal teratoma overview|Overview]]==
==[[Sacrococcygeal teratoma overview|Overview]]==


==[[Sacrococcygeal teratoma natural history, complications, and prognosis|Natural history, Complications, and Prognosis]]==
==[[Sacrococcygeal teratoma historical perspective|Historical Perspective]]==
 
==[[Sacrococcygeal teratoma classification|Classification]]==
 
==[[Sacrococcygeal teratoma pathophysiology|Pathophysiology]]==
 
==[[Sacrococcygeal teratoma causes|Causes]]==
 
==[[Sacrococcygeal teratoma differential diagnosis|Differentiating Sacrococcygeal teratoma from other Diseases]]==
==[[Sacrococcygeal teratoma differential diagnosis|Differentiating Sacrococcygeal teratoma from other Diseases]]==
==[[Sacrococcygeal teratoma epidemiology and demographics|Epidemiology and Demographics]]==
==[[Sacrococcygeal teratoma risk factors|Risk Factors]]==
==[[Sacrococcygeal teratoma screening|Screening]]==
==[[Sacrococcygeal teratoma natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


==Diagnosis==
==Diagnosis==
==[[Sacrococcygeal teratoma history and symptoms|History & Symptoms]]==
[[Sacrococcygeal teratoma history and symptoms|History & Symptoms]] | [[Sacrococcygeal teratoma physical examination|Physical Examination]] | [[Sacrococcygeal teratoma laboratory tests|Laboratory Tests]] | [[Sacrococcygeal teratoma pelvis x ray|Pelvis X Ray]] | [[Sacrococcygeal teratoma CT|CT]] | [[Sacrococcygeal teratoma MRI|MRI]] | [[Sacrococcygeal teratoma echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Sacrococcygeal teratoma other imaging findings|Other Imaging Findings]] | [[Sacrococcygeal teratoma other diagnostic studies|Other Diagnostic Studies]]
==[[Sacrococcygeal teratoma physical examination|Physical Examination]]==
==Lab tests==
==[[Sacrococcygeal teratoma echocardiography or ultrasound|Echocardiography or Ultrasound]]==
==[[Sacrococcygeal teratoma surgery|Surgery]]==
==Treatment==
==Treatment==
The preferred first treatment for SCT is complete surgical removal (ie, complete resection). The preferred approach to a small SCT is through the [[perineum]]; a large SCT may require an additional approach through the [[abdomen]]. Resection should include the coccyx and may also include portions of the [[sacrum]]. The surgery should include reattachment of the small muscles and ligaments formerly attached to the coccyx, in effect reconstructing the posterior perineum.
[[Sacrococcygeal teratoma medical therapy|Medical Therapy]] | [[Sacrococcygeal teratoma surgery|Surgery]] | [[Sacrococcygeal teratoma primary prevention|Primary Prevention]] | [[Sacrococcygeal teratoma secondary prevention|Secondary Prevention]] | [[Sacrococcygeal teratoma cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Sacrococcygeal teratoma future or investigational therapies|Future or Investigational Therapies]]


SCTs are classified morphologically according to how much of them is outside or inside the body:
==Case Studies==
*Altman Type I — entirely external, sometimes attached to the body only by a narrow '''stalk'''
*Altman Type II
*Altman Type III
*Altman Type IV — entirely internal;  this is a '''presacral teratoma'''


The Altman Type has a significant influence on management, surgical approach, and complications of SCT.  Serial ultrasound and MRI monitoring of SCTs in fetuses [[in utero]] has demonstrated that the Altman Type can change over time.
[[Sacrococcygeal teratoma case study one|Case #1]]
 
Regardless of location in the body, [[teratoma]]s are classified according to a [[cancer staging]] system.  This indicates whether [[chemotherapy]] or [[radiation therapy]] may be needed.
==Complications==


==See also==
==See also==
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{{Pathology|state=collapsed}}
{{Pathology|state=collapsed}}
{{Joints of torso|state=collapsed}}
{{Joints of torso|state=collapsed}}
{{SIB}}


[[Category:Congenital disorders]]
[[Category:Congenital disorders]]
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Latest revision as of 19:24, 31 July 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mirdula Sharma, MBBS [2]Sabawoon Mirwais, M.B.B.S, M.D.[3]

Synonyms and keywords: Fetiform Teratoma, Fetus in fetu

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Sacrococcygeal teratoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History & Symptoms | Physical Examination | Laboratory Tests | Pelvis X Ray | CT | MRI | Echocardiography or Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

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Case #1

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