Giant sacro-coccygeal teratoma. Case report

Area of Science:

• Pediatric Surgery
• Oncology
• Radiology

Background:

• Sacrococcygeal teratomas are congenital tumors that can grow to a very large size.
• Complete surgical excision is crucial for favorable outcomes in pediatric oncology.

Observation:

• A two-year-old child presented with a giant teratoma in the sacro-coccygeal region, extending into the pre-sacral area.
• Surgical intervention was performed in two stages, one month apart, under computed tomography (CT) scan guidance.

Findings:

• Complete surgical removal (exeresis) of the giant teratoma was achieved.
• Postoperative evaluation using CT scans confirmed the absence of residual tumor.
• The patient showed a satisfactory clinical evolution eight months after surgery.

Implications:

• This case highlights the feasibility of complete resection for large, complex sacrococcygeal teratomas.
• CT scans are essential for precise surgical planning and postoperative surveillance in such cases.
• Effective management of giant teratomas requires a multidisciplinary approach involving surgery and advanced imaging.