Evaluation of prenatally diagnosed fetal sacrococcygeal teratomas: A case series of seventeen pregnancies from South-central Turkey / Prenatal donemde tani konulan sakrokoksigeal teratomlu fetuslerin degerlendirilmesi: Dogu Akdeniz Bolgesinden on yedi gebelik olgu serisi

• Published in: Turkish journal of obstetrics and gynecology Vol. 17; no. 3; p. 170
• Main Authors: Ozsurmeli, Mehmet, Buyukkurt, Selim, Sucu, Mete, Arslan, Erol, Misirlioglu, Selahattin, Akcabay, Cigdem, Kayapinar, Masum, Demir, Suleyman Cansun, Evruke, Ismail Cuneyt
• Format: Journal Article
• Language: English
• Published: Galenos Yayinevi Tic. Ltd 01.09.2020
• Subjects: Coccyx; Diagnosis; Fetal diseases; Health aspects; Patient outcomes; Pediatric research; Prenatal diagnosis; Teratoma; Turkey
• ISSN: 2149-9322
• DOI: 10.4274/tjod.galenos.2020.68812

Objective: To evaluate sacrococcygeal teratoma (SCT) cases according to associated cardiac, extracardiac, and chromosomal anomalies in the prenatal period, and to review their outcomes. Materials and Methods: Data of pregnancies with a prenatal diagnosis of SCT between 2009 and 2019 were retrospectively reviewed. Results: One ongoing pregnancy was excluded. There were five medically terminated cases, three due to severe heart failure and the remaining two due to additional congenital defects. Two infants who had heart failure due to hyperdynamic flow died in the neonatal period. Nine infants are well and alive at the time of writing. Conclusion: When a lesion is detected in the sacrococcygeal region during fetal sonography, the differential diagnosis should be made with an appropriate evaluation with emphasis on a possible diagnosis of fetal SCT. Tumor growth and heart failure should be monitored with serial scans when SCT has been diagnosed prenatally. Keywords: Prenatal diagnosis, teratoma, sacrococcygeal region Amac: Prenatal donemde tanisi konmus sakrokoksigeal tumorlu (SKT) fetuslerin kalp, kalp disi ve kromozom anomaleri isiginda prognozlarinin saptanmasi amaclanmistir. Gerec ve Yontemler: 2009 ila 2019 tarih araliginda tanisi konmus SKT'li olgularin verileri retrospektif olarak degerlendirildi. Bulgular: Bir devam eden gebelik calismaya dahil edilmedi. Ucu ciddi kalp yetmezligi ve ikisi ek konjenital defektlere bagli olmak uzere toplam bes olguya tibbi sonlandirma uygulanmisti. Hiperdinamik kalp yetmezligi gelisen iki olgunun yenidogan doneminde oldugu saptandi. Dokuz olgu, makale yaziminda sag ve sagliklidir. Sonuc: Fetal sonografi ile sakrokoksigeal bolgede saptanan lezyonlarin ayirici tanisi, fetal SKT tanisi da goz onunde bulundurularak, uygun sekilde ele alinmalidir. Antenatal SKT tanisi konuldugunda seri muayeneler ile tumorun seyri ve kalp yetmezligi gelisimi takip edilmelidir. Anahtar Kelimeler: Prenatal tani, teratom, sakrokoksigeal bolge