CHAPTER 35 Sacrococcygeal Teratoma
Step 1: Background and Surgical Anatomy
Step 2: Preoperative Considerations
Neonatal
Infant and Pediatric Patients



Table 35-1 Frequency of Malignancy Associated with Higher American Academy of Pediatrics Anatomic Classification
AAP TYPE | MALIGNANT (%) | METASTASIS (%) |
---|---|---|
I | 8 | 0 |
II | 21 | 6 |
III | 34 | 20 |
IV | 38 | 8 |
Step 3: Operative Steps
Positioning
Operative Technique
Posterior Perineal Approach
Step 4: Postoperative Care
Step 5: Pearls and Pitfalls
1 Rescorla FJ, Sawin RS, Coran AG, et al. Long-term outcome for infants and children with sacrococcygeal teratoma: a report from the Childrens Cancer Group. J Pediatr Surg. 1998;33(2):171-176.
2 Rescorla FJ. Pediatric germ cell tumors. Semin Surg Oncol. 1999;16(2):144-158.
3 Skinner MA. Germ cell tumors. In: Keith T, Oldham PMC, Foglia RP, Skinner MA, editors. Principles and practice of pediatric surgery, vol. 1. Lippincott Williams & Wilkins; 2005:637-648.
4 Altman RP, Randolph JG, Lilly JR. Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973. J Pediatr Surg. 1974;9(3):389-398.
5 Rescorla F, Billmire D, Stolar C, et al. The effect of cisplatin dose and surgical resection in children with malignant germ cell tumors at the sacrococcygeal region: a pediatric intergroup trial (POG 9049/CCG 8882). J Pediatr Surg. 2001;36(1):12-17.
6 Currarino G, Coln D, Votteler T. Triad of anorectal, sacral, and presacral anomalies. AJR Am J Roentgenol. 1981;137(2):395-398.
7 Boemers TM, van Gool JD, de Jong TP, Bax KM. Lower urinary tract dysfunction in children with benign sacrococcygeal teratoma. J Urol. 1994;151(1):174-176.