Prenatal diagnosis of type I sacrococcygeal teratoma and its management.
OBJECTIVE
To report a case of type I sacrococcygeal teratoma (SCT) diagnosed prenatally and managed surgically successfully in the neonatal period.


METHODS
A gravida 2, para 1, woman at 32 week's gestation was referred for suspected fetal anomaly. On US a 14 x 12 cm mass with solid and cystic components was detected in the sacral region of the fetus. On MRI the tumor had no apparent intrapelvic or intraabdominal extent, indicating type I SCT. Cesarean section was performed at 34 weeks' gestation due to signs of deteriorating high output cardiac compromise in the fetus. In the neonatal period stabilization of the infant was achieved. At age ten days the mass was successfully excised surgically.


CONCLUSIONS
Prenatal determination of SCT, follow-up with sonography, time, and mode of delivery are indicative factors for prognosis in SCT.
Saygili-Yilmaz
E S
ES
Department of Obstetrics and Gynecology, Numune Educational and Research Hospital, Adana, Turkey. hly@ttnet.net.tr
Incki
K K
KK
Turgut
M
M
Kelekci
S
S
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011256:Pregnancy Outcome; D012445:Sacrococcygeal Region; D013724:Teratoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D016216:Ultrasonography, Prenatal