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Laparoscopic Approach to Presacral Recurrence of Sacrococcygeal Teratoma
Eri Tei, Hitoshi Hirakawa, Masaharu Mori
1Department of Pediatric Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. watanabe-ts@tsc.u-tokai.ac.jp.
Insights
A recurrent sacrococcygeal teratoma was successfully resected laparoscopically in a 6-month-old girl. This minimally invasive approach achieved complete tumor removal with no signs of recurrence during follow-up.
Area of Science:
- Pediatric Surgery
- Oncology
- Laparoscopic Surgery
Background:
- Sacrococcygeal teratoma is a common congenital tumor in infants.
- Local recurrence can occur after initial surgical resection.
- Accurate diagnosis and effective surgical management are crucial for favorable outcomes.
Purpose of the Study:
- To report a case of recurrent sacrococcygeal teratoma in a pediatric patient.
- To evaluate the efficacy of laparoscopic surgery for presacral mass resection.
- To highlight the management of recurrent congenital tumors.
Main Methods:
- A 6-month-old girl with a presacral mass underwent laparoscopic resection.
- The tumor was identified and resected by mobilizing the rectum and fixing the broad ligament.
- Histopathological examination confirmed a mature cystic teratoma.
Main Results:
- The laparoscopic surgery successfully resected the recurrent presacral teratoma.
- The patient experienced no recurrence at 6-month follow-up.
- Histopathology confirmed the diagnosis of mature cystic teratoma.
Conclusions:
- Laparoscopic surgery is a viable and effective option for treating recurrent sacrococcygeal teratoma in pediatric patients.
- Minimally invasive techniques can achieve complete tumor resection and favorable outcomes.
- Close follow-up is essential to monitor for any signs of recurrence.
Abstract:
A 6-month-old girl was presented to our hospital due to a presacral mass found 5 months after surgery of sacrococcygeal teratoma. The original tumor was a 63 x 50 mm sized round cyst connecting to the coccyx, observed with computed tomography. The initial operation was performed with en bloc removal of the tumor along with the coccyx in the prone position. During a routine follow up, ultrasonography indicated a possible local recurrence, 5 months after the initial operation. The magnetic resonance imaging revealed a polycystic formation with a diameter of 20 x 11 x 17 mm in the presacral space. The laparoscopic operation was conducted with the patient in the lithotomy and Trendelenburg position. The broad ligament of uterus was fixed to the abdominal skin and the rectum was mobilized to identify the tumor, which was resected laparoscopically. A histopathological examination showed the tumor to be a mature cystic teratoma. We observed her without any additional treatment and no recurrence is seen after 6 months.
