Ee. Lack et al., LATE OCCURRENCE OF MALIGNANCY FOLLOWING RESECTION OF A HISTOLOGICALLYMATURE SACROCOCCYGEAL TERATOMA - REPORT OF A CASE AND LITERATURE-REVIEW, Archives of pathology and laboratory medicine, 117(7), 1993, pp. 724-728
Citations number
28
Categorie Soggetti
Pathology,"Medical Laboratory Technology","Medicine, Research & Experimental
A sacrococcygeal adenocarcinoma is reported in a male patient nearly 4
0 years old following resection of a histologically mature sacrococcyg
eal teratoma. The adenocarcinoma arose within soft tissue of the presa
cral area and residual coccyx and extensively invaded the coccygeal st
ump that had not been removed in toto with the teratoma during initial
surgery at 2 months of age. The patient died nearly 2 years later wit
h local and regional recurrence of tumor and metastases to lymph nodes
, liver, lung, bone, and brain. At autopsy there was no evidence of or
igin from deep internal organs such as the stomach, pancreas, or other
sites. Brief comments are made about malignant tumors complicating sa
crococcygeal teratomas in both the pediatric age group and adults, and
attention is focused on other lesions entering into the differential
diagnosis, particularly retrorectal cyst/hamartoma or tailgut cysts. T
his case underscores an extremely rare but potentially fatal outcome o
f a patient with sacrococcygeal teratoma.