title: The functional sequelae of sacrococcygeal teratoma.
abstract: Twenty-seven patients with sacrococcygeal teratoma were followed for a mean period of 5 years (range, 2 to 12 years). Eleven (41%) had some form of functional impairment. Fecal and/or urinary incontinence was present in nine children and two had weakness of the lower limbs secondary to sciatic nerve palsy. Tumors with large intrapelvic extensions requiring an abdominoperineal approach for resection were associated with a higher incidence of functional sequelae (67%). It is recommended that patients with sacrococcygeal teratoma (particularly those with a presacral extension) be closely monitored for functional deficits so that early treatment can be instituted.
authors.affiliation: Department of Paediatric Surgery, Hospitals for Sick Children, London, England.
authors.forename: P S
authors.initials: PS
authors.lastname: Malone
authors.forename: L
authors.initials: L
authors.lastname: Spitz
authors.forename: E M
authors.initials: EM
authors.lastname: Kiely
authors.forename: R J
authors.initials: RJ
authors.lastname: Brereton
authors.forename: P G
authors.initials: PG
authors.lastname: Duffy
authors.forename: P G
authors.initials: PG
authors.lastname: Ransley
mesh_terms: D005242:Fecal Incontinence / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012445:Sacrococcygeal Region / Q000601:surgery; D013724:Teratoma / Q000150:complications* / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology*