Giant Sacroccogieal Mature Teratoma Type 2, 40 Days Old Baby: Delayed Surgery Due to the Treatment of Newborn Injuries Which Occurred During Delivery-Case Report

Abstract

K. Karavdic, S.Begic-Kapetanovic, E.Milisic, E.Becic, H.Maksic, M.Jamakosmanovic, A.Papovic, I.Sefic-Pasic and N.Bilalovic

Introduction: Sacrococcygeal teratoma is an extragonadal germ cell tumor that develops in the fetal and neonatal periods and comprised of mixed elements derived from the three germ cell layers. A pathology-based classification is as benign (mature): much more common, comprising ~60-70%. Type II is extra-fetal with intrapelvic presacral extension a location-based on classification system according to the American Academy of Pediatric Surgery Section Survey.

Case report: A 2.25 kg cesarean delivered female, term neonate presented with large nonpulsatile, globular erythematous mass with lobulated surface and variable consistency. Magnetic resonance imaging of the lumbosacral spine showed multilocular cystic and solid lesion with foci of calcification and subtle communication with spinal canal. Histopathological examination showed mature endodermal, ectodermal, and mesenchymal elements such as cartilage, glial tissues, keratin cyst, and glandular elements with focus of primaryneuroepithelial and pancreatic elements. Entire tumor was excised. The baby expired secondary to wound infection.

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