title: Evaluation of chemotherapeutic sequelae and quality of life in survivors of malignant sacrococcygeal teratoma.
abstract: OBJECTIVE
  The impact of chemotherapeutic sequelae on long-term quality of life (QoL) for survivors of malignant sacrococcygeal teratoma (SCT) is unknown. The incidence of chemotherapeutic toxicity in patients treated for malignant SCT and possible effects on the QoL were analyzed.
  
  
  METHODS
  Retrospective chart review of patients ≥18 years treated for SCT in the Netherlands was performed. Present QoL was evaluated using the SF-36 questionnaire. The results of survivors of malignant SCT were compared to those of patients treated for benign SCT.
  
  
  RESULTS
  Fifty-one of 76 traceable patients consented to participate. The results of 47 (92.2 %), 9 men and 38 women (median age 25.4 years, range 18.3-41.2), were analyzed. Eleven had been treated for malignancy; 63.6 % suffered from at least one chemotherapeutic sequel with hearing loss as the most common one. Results for both groups were similar on all but one SF-36 subcategory; those treated for malignant tumor scored significantly lower on the subcategory physical functioning (p = 0.02).
  
  
  CONCLUSIONS
  Despite the high incidence of chemotherapeutic sequelae among survivors of malignant SCT, their QoL does not differ from that of those treated for benign SCT. Even though their physical functioning is restricted, daily activities and psychosocial functioning of survivors of malignant SCT are not restricted.
authors.affiliation: Department of Pediatric Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
authors.forename: Marijke E B
authors.initials: ME
authors.lastname: Kremer
authors.affiliation: Department of Pediatric Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.|Paediatric Surgical Center of Amsterdam Emma Children's Hospital AMC and VU University Medical Center, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands.
authors.forename: Joep P M
authors.initials: JP
authors.lastname: Derikx
authors.affiliation: Department of Pediatric Oncology, Emma Children's Hospital, University Medical Center Amsterdam, Amsterdam, The Netherlands.
authors.forename: Leontien C M
authors.initials: LC
authors.lastname: Kremer
authors.affiliation: Department of Pediatric Surgery, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Robertine
authors.initials: R
authors.lastname: van Baren
authors.affiliation: Pediatric Surgical Center of Amsterdam (Emma Children's Hospital University Medical Center and VU Medical Center Amsterdam), Amsterdam, The Netherlands.
authors.forename: Hugo A
authors.initials: HA
authors.lastname: Heij
authors.affiliation: Department of Pediatric Surgery, University Medical Center Nijmegen, Nijmegen, The Netherlands.
authors.forename: Marc H W A
authors.initials: MH
authors.lastname: Wijnen
authors.affiliation: Department of Pediatric Surgery, Sophia Children's Hospital, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
authors.forename: René M H
authors.initials: RM
authors.lastname: Wijnen
authors.affiliation: Department of Pediatric Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: David C
authors.initials: DC
authors.lastname: van der Zee
authors.affiliation: Department of Pediatric Surgery, Maastricht University Medical Center, Maastricht, The Netherlands. e.vanheurn@amc.uva.nl.|Paediatric Surgical Center of Amsterdam Emma Children's Hospital AMC and VU University Medical Center, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands. e.vanheurn@amc.uva.nl.
authors.forename: L W Ernest
authors.initials: LW
authors.lastname: van Heurn
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D009426:Netherlands; D010386:Pelvic Neoplasms / Q000188:drug therapy*; D011788:Quality of Life; D012189:Retrospective Studies; D012445:Sacrococcygeal Region; D011795:Surveys and Questionnaires; D017741:Survivors / Q000706:statistics & numerical data*; D013724:Teratoma / Q000188:drug therapy*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Chemotherapeutic sequelae; Malignant sacrococcygeal teratoma; Quality of life