Long-term functional outcome of sacrococcygeal teratoma after resection in neonates and infants: a single-center experience View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-09-29

AUTHORS

Kazunori Masahata, Chihiro Ichikawa, Katsutoshi Makino, Takatoshi Abe, Kiyokazu Kim, Taku Yamamichi, Ai Tayama, Hideki Soh, Noriaki Usui

ABSTRACT

PurposeThis study aimed to evaluate the incidence and factors associated with long-term functional outcomes of sacrococcygeal teratoma (SCT) after resection in neonates and infants.MethodsTwenty-nine patients with a minimum of 3 years of follow-up who underwent resection and were histologically diagnosed with SCTs between 1982 and 2017 at our institution were included.ResultsThe median age at the time of the study was 10.0 years. Functional disorders occurred after surgery in 6 (20.7%) patients. Anorectal dysfunction, urologic dysfunction, and lower-extremity motor disorders occurred in 6 (20.7%), 4 (13.8%), and 3 (10.3%) patients, respectively. One patient with all three types of functional disorders developed intestinal perforation due to ileus and died of sepsis at 13 years of age. The overall mortality rate after tumor resection was 3.4%. The patients who developed functional disorders presented a low 1-min Apgar score, larger tumors requiring abdominosacral resection, surgical injury to the pelvic organs, and immature or malignant histological findings.ConclusionAlthough the mortality rate was low, the long-term rate of functional disorders after SCT resection was approximately 20%. SCT patients with large tumors, surgical injury to the pelvic organs, and immature or malignant histological findings require thorough follow-up. More... »

PAGES

1327-1332

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00383-020-04752-7

DOI

http://dx.doi.org/10.1007/s00383-020-04752-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1131271285

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32990839


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