A case of type III cystic sacrococcygeal teratoma.
We report a rare case of congenital type III cystic teratoma that may be falsely diagnosed as an anterior sacral meningocele. A female newborn baby presented with a long, white-colored 4 x 1 cm coccygeal cyst posterior to the anus. Magnetic resonance imaging (MRI) demonstrated that a 10 x 4 cm elliptical intrapelvic and -abdominal mass anterior to the sacrum and coccyx extended inferiorly to the retrorectal space. We intraoperatively found that the cyst consisted of a mostly thin, white wall, but also with small posterior narrow nodules. We suggest that all cysts in the sacrococcygeal area should be excluded from teratoma carefully, with MRI.
Yoon
Soo Han
SH
Department of Neurosurgery, Ajou University School of Medicine, Suwon, Korea.
Park
Se-Hyuck
SH
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008588:Meningocele / Q000175:diagnosis; D012445:Sacrococcygeal Region; D013125:Spinal Neoplasms / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D013724:Teratoma / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery