J N Legbo1, W Ek Opara, J F Legbo. 1. Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. legboj@yahoo.co.uk
Abstract
BACKGROUND: Mature sacrococcygeal teratomas (SCT) are uncommon neoplasms comprised of mixed elements derived from the three germ cell layers. They attract attention because of their gross appearance and bizarre histology. AIM: To demonstrate the clinical presentation and management of mature SCT in a neonate. PATIENT AND METHOD: A case report of a neonate with mature SCT is hereby presented. RESULTS: A 10-day old baby boy presented with a mature SCT comprising well- developed lower limb, rudimentary external genitalia and teeth. He had complete surgical excision (including coccygectomy) with primary wound closure and uneventful postoperative recovery. Follow-up at three years using clinical, biochemical and radiological assessment revealed no evidence of recurrence. CONCLUSION: Mature SCT appear to be entirely benign during the neonatal period. Complete surgical excision remains the mainstay of treatment.
BACKGROUND:Mature sacrococcygeal teratomas (SCT) are uncommon neoplasms comprised of mixed elements derived from the three germ cell layers. They attract attention because of their gross appearance and bizarre histology. AIM: To demonstrate the clinical presentation and management of mature SCT in a neonate. PATIENT AND METHOD: A case report of a neonate with mature SCT is hereby presented. RESULTS: A 10-day old baby boy presented with a mature SCT comprising well- developed lower limb, rudimentary external genitalia and teeth. He had complete surgical excision (including coccygectomy) with primary wound closure and uneventful postoperative recovery. Follow-up at three years using clinical, biochemical and radiological assessment revealed no evidence of recurrence. CONCLUSION: Mature SCT appear to be entirely benign during the neonatal period. Complete surgical excision remains the mainstay of treatment.
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