title: Foetal sacrococcygeal teratoma: extremes in clinical presentation.
abstract: Sacrococcygeal teratoma (SCT) is a congenital tumour that can be diagnosed by ultrasonography (USG). We present our experience with the management of two cases of SCT in our institution between 2008 and 2009. In the first case, SCT was diagnosed at 17 weeks' gestation. The patient was followed up with fortnightly USG to monitor the tumour size, foetal growth and signs of foetal hydrops. The patient delivered a baby girl by Caesarean section at 37 weeks, with good Apgar scores. The neonate underwent an uneventful resection of SCT on Day 1 of life. In the second case, SCT was diagnosed at 20 weeks during screening. In view of foetal hydrops and anaemia, the patient underwent three in utero foetal blood transfusions. A baby boy was delivered by Caesarean section at 28 weeks. There was a large friable SCT with massive haemorrhage. Despite maximal resuscitative efforts, the neonate died 30 minutes after birth.
authors: Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. wcube@hotmail.com
authors: W W
authors: WW
authors: Wee
authors: S
authors: S
authors: Tagore
authors: J V K
authors: JV
authors: Tan
authors: G S H
authors: GS
authors: Yeo
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000473:pathology*; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D012445:Sacrococcygeal Region / Q000473:pathology*; D013724:Teratoma / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000473:pathology*; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal