Adult Sacrococcygeal Teratoma: The third leg: A rare case report in a 25 year old man.
BACKGROUND
Sacrococcygeal Teratoma (SCT) is a rare benign neoplasm comprised of mixed elements derived from two or more germ cell layers. They are extremely rare in adults. They attract attention because of their gross appearance and bizarre histology.


METHODS
A 25 year old male presented to Surgical OPD, Government General Hospital, Guntur Medical College, Guntur with a large mass comprising a partially developed 3rd leg and rudimentary external genitalia in the lower back. He complained of cosmetic blemish, difficulty in sitting, sleeping and walking.


CONCLUSIONS
He was diagnosed mature Sacrococcygeal Teratoma Altman Type II based on history, clinical examination, ultrasound, MRI. Histopathology confirmed the diagnosis. He had complete surgical excision with primary wound closure and a good postoperative recovery. A 3-year follow-up using clinical, biochemical and radiological assessment revealed no evidence of recurrence.


CONCLUSIONS
Mature SCT, though very rare in adults, are usually benign. Complete surgical excision remains the mainstay of treatment.
Department of General Surgery, Government General Hospital GGH, Guntur Medical College GMC, Guntur 522004, Andhra Pradesh, India. Electronic address: kirankumar.yekula9999@gmail.com.
M S Kiran Kumar
MS
Yekula
Guntur Medical College GMC, Guntur 522004, Andhra Pradesh, India. Electronic address: anudeep.yekula@gmail.com.
Anudeep
A
Yekula
Altman type II; Excision; Sacrococcygeal; Teratoma