İdris Sertbaş1, Mete Karatay2. 1. Deparment of Neurosurgery, Yeni yüzyıl Univercity Medical of School, çukurçeşme caddesi no:51 Gaziosmanpaşa, İstanbul, Turkey. idris.sertbas@yeniyuzyil.edu.tr. 2. Deparment of Neurosurgery, Yeni yüzyıl Univercity Medical of School, çukurçeşme caddesi no:51 Gaziosmanpaşa, İstanbul, Turkey.
Abstract
INTRODUCTION: Teratomas are derived from all three germ layers and make up 3% of all childhood tumors. They are histologically classified as mature or immature. We present a case that was operated on when 30 days old for a sacrococcygeal mature teratoma and then showed long segment involvement in the thoracolumbar region 9 months after the surgery. The MRI (magnetic resonance imaging) showed a mass starting at the thoracal 4 level and extending to the lumbar 3 level with significant spinal cord compression in the extradural space. RESULT: The laminae between thoracal 4 and lumbar 3 levels were removed en bloc at a single surgical session and laminoplasty was performed after tumor resection. We also removed the tumor growing into the extrapleural space at the thoracal 5, 6, and 9, 10, 11, 12 levels using the costotransversectomy procedure. CONCLUSIONS: We emphasize with this case that mature teratomas can show aggressive growth following surgery and that the development of spinal deformities can be prevented with laminoplasty.
INTRODUCTION:Teratomas are derived from all three germ layers and make up 3% of all childhood tumors. They are histologically classified as mature or immature. We present a case that was operated on when 30 days old for a sacrococcygeal mature teratoma and then showed long segment involvement in the thoracolumbar region 9 months after the surgery. The MRI (magnetic resonance imaging) showed a mass starting at the thoracal 4 level and extending to the lumbar 3 level with significant spinal cord compression in the extradural space. RESULT: The laminae between thoracal 4 and lumbar 3 levels were removed en bloc at a single surgical session and laminoplasty was performed after tumor resection. We also removed the tumor growing into the extrapleural space at the thoracal 5, 6, and 9, 10, 11, 12 levels using the costotransversectomy procedure. CONCLUSIONS: We emphasize with this case that mature teratomas can show aggressive growth following surgery and that the development of spinal deformities can be prevented with laminoplasty.
Entities:
Keywords:
Epıdural tumor; Mature teratoma; Pediatric spine surgery
Authors: Antoine De Backer; Gerard C Madern; Friederike G A J Hakvoort-Cammel; Patrick Haentjens; J Wolter Oosterhuis; Frans W J Hazebroek Journal: J Pediatr Surg Date: 2006-01 Impact factor: 2.545
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