Evidence map›Paper›PMID 37718391›Full record

ArticleWorld journal of surgical oncology2023

Management strategy and outcomes of sacrococcygeal teratoma - an Egyptian multicenter experience.

Ahmed Elgendy, Amr Abdelhamid AbouZeid, Mohamed El-Debeiky, Mahmoud Mostafa, Mohammed Hamada Takrouney, Mohamed Abouheba, Ahmed Khairi, Sameh Shehata, Sherif M Shehata

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in World journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Ahmed ElgendySurgical Oncology Unit, Department of Surgery, Faculty of Medicine, Tanta University, Tanta, 31515, Egypt. ahmed.elgendy@med.tanta.edu.eg.ORCID http://orcid.org/0000-0002-7324-9857
Amr Abdelhamid AbouZeidPediatric Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamed El-DebeikyPediatric Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mahmoud MostafaPediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt.
Mohammed Hamada TakrouneyPediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt.
Mohamed AbouhebaPediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Ahmed KhairiPediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Sameh ShehataPediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Sherif M ShehataPediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University · EGAin Shams University · EGAlexandria University · EGAssiut University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNationwide criteria regarding patients with sacrococcygeal teratoma (SCT) are still lacking in Egypt. We aimed to present a multicenter study regarding the management and outcomes of this tumor to evaluate our national treatment strategy.

methodsA retrospective analysis including all patients with SCT who were managed at four major Egyptian centers between 2013 and 2023. Clinical data, surgical approaches, and short- and long-term outcomes were discussed.

resultsThe study included 95 patients (74 were females). Antenatal diagnosis was reported in 25% of patients. Seventy-one patients (74.7%) were classified as Altman type I/II. Surgery was performed via a perineal approach in 75 patients, whereas the remaining 20 underwent a combined abdominoperineal approach. Vertical elliptical incision with midline closure was conducted in 51.5% of patients, followed by classic or modified chevron incisions. Benign mature teratoma was detected in 82% of patients. At a median follow-up of 57 months, eight patients (8.5%) had relapsed. The 5-year overall survival (OS) and event-free survival (EFS) of all patients were 94% and 91%, respectively. In the after-care monitoring, 19 patients (20%) had urinary or bowel dysfunctions. Nine of them were managed using medications. Clean intermittent catheterization was practiced in another five patients. The remaining five underwent further surgical interventions.

conclusionFavorable outcomes were achieved in our country during the last decade. Diverse perineal incisions were performed for resection, and vertical elliptical with midline closure was the commonest. During follow-up, 20% of patients developed urological or bowel dysfunctions that required medical and surgical treatment modalities to improve their quality of life.

Indexed as

Spinal NeoplasmsSurgical WoundTeratomaEgyptFemaleHumansMalePregnancyQuality of LifeRetrospective StudiesOutcomesRelapseSacrococcygeal teratomaSurgery

Identifiers

PMID37718391
PMCPMC10506197
OpenAlexW4386810709

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.