title: Management of preterm giant sacrococcygeal teratoma (GSCT) with an excellent outcome.
abstract: Infants born with a giant sacrococcygeal teratoma (GSCT; >10 cm) have high mortality. Risk factors for mortality include increased tumor vascularity, high cardiac output, rapid growth, diagnosis before 20-week gestation, delivery before 30-week gestation, hydrops, low birth weight, Apgar less than 7 at 5 min and polyhydramnios. We present the case of a 28-week infant born with a GSCT (15 × 12 × 16 cm) and all of these risk factors.
authors.affiliation: Department of Anesthesiology, Driscoll Children's Hospital, Corpus Christi, TX, USA meera.gangadharan@dchstx.org.
authors.forename: Meera
authors.initials: M
authors.lastname: Gangadharan
authors.affiliation: Department of Pediatrics, Driscoll Children's Hospital, Corpus Christi, TX, USA.
authors.forename: Sanjeet
authors.initials: S
authors.lastname: Panda
authors.affiliation: Department of Surgery, Driscoll Children's Hospital, Corpus Christi, TX, USA.
authors.forename: P Stephen
authors.initials: PS
authors.lastname: Almond
authors.affiliation: Department of Surgery, Driscoll Children's Hospital, Corpus Christi, TX, USA.
authors.forename: Vaidehi
authors.initials: V
authors.lastname: Agrawal
authors.affiliation: Department of Anesthesiology, Driscoll Children's Hospital, Corpus Christi, TX, USA.
authors.forename: Angelina
authors.initials: A
authors.lastname: Bhandari
authors.affiliation: Department of Anesthesiology, Driscoll Children's Hospital, Corpus Christi, TX, USA.
authors.forename: A Jay
authors.initials: AJ
authors.lastname: Koska