Evidence map›Paper›PMID 40041260›Full record

ArticleCase reports in perinatal medicine2023

Antenatal and histological diagnostics of cystic sacrococcygeal teratoma. Clinical case and literature review.

Egle Savukyne, Saule Krzconaviciute, Marija Vaitkeviciute, Egle Machtejeviene, Ieva Rubaviciute

Abstract read
In one paragraph

Article in Case reports in perinatal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Egle SavukyneMedical Academy, Department of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Saule KrzconaviciuteMedical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Marija VaitkeviciuteMedical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Egle MachtejevieneMedical Academy, Department of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Ieva RubaviciuteMedical Academy, Department of Pathological Anatomy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The congenital embryonic tumor known as sacrococcygeal teratoma (SCT) affects 1 in 35.000-40.000 newborns and is more prevalent in female fetuses and neonates. A total of 25-50% of SCTs are diagnosed by an ultrasound (US) examination during the second trimester of pregnancy. Planning the manner of delivery, determining the risk of negative outcomes, and choosing treatment options depend on the results of antenatal differential diagnosis. Case presentation: This is a unique case of a 29-year-old second gravida, suspected of having a fetal sacrococcygeal dysplasia differentiable between Type 2 SCT and terminal myelocystocele. An MRI revealed no typical SCT changes, as a matter of course, the diagnosis of myelocystocele could not have been excluded. The results of the genetic examination allowed to exclude the chromosomal pathology. Punctuation of the external component of the formation and a cytological examination were suggested. Nevertheless, the patient and her partner refused further studies and insisted on the termination of pregnancy. Medical abortion was induced and histological findings confirmed fetal morphology to be mature SCT. Conclusions: Cystic sacrococcygeal teratoma is an unusual malformation of fetal development. In the antenatal period SCT is diagnosed based upon an ultrasound evaluation, an MRI, and a multidisciplinary assessment of clinical experts. Differential diagnosis based upon clinical imaging during the gestational period is elaborate. The final medical diagnosis needs to be verified by a histological evaluation of pathological tissue. An antenatal medical diagnosis of fetal dysplasia is considerable for the further prognosis of fetal and newborn development.

Indexed as

antenatal diagnosticscase reportcystic sacrococcygeal teratomafetal dysplasiamyelocystocele

Identifiers

PMID40041260
PMCPMC11616544

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