Sacrococcygeal teratoma physical examination: Difference between revisions

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Revision as of 19:17, 22 December 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mirdula Sharma, MBBS [2]

Overview

Patient with sacrococcygeal teratoma usually are generally well-appearanceing. Physical examination of patients with sacrococcygeal teratoma is usually remarkable for a protruding pre sacral mass.^[1]

Physical Examination

General Apperance

Patients with sacrococcygeal teratoma are generally well-appearing. Patients are oriented to time, place, and person. ^[2]
Presentation may vary by age of the patient

In utero - Mass extending off the caudal end
In Infancy - asymptomatic or signs of obstruction of rectum or bladder
At birth - usually a visible mass under the skin at the sacrococcygeal region.

Neurological Examination

Small sacrococcygeal teratomas don't present with any neurological deficits. ^[3]
Large sacrococcygeal teratomas can present with paresis or paralysis if they compress the nerve.

Rectal Examination

Rectal mass causing pressure on rectum^[4]

References

↑ Mahour GH (1988). "Sacrococcygeal teratomas". CA Cancer J Clin. 38 (6): 362–7. PMID 3141009.
↑ Mahour GH (1988). "Sacrococcygeal teratomas". CA Cancer J Clin. 38 (6): 362–7. PMID 3141009.
↑ Mahour GH (1988). "Sacrococcygeal teratomas". CA Cancer J Clin. 38 (6): 362–7. PMID 3141009.
↑ http://www.wscj.org/pdf/pdf_WSCJ_85.pdf

it:Teratoma sacro-coccigeo

Template:WikiDoc Sources

[1] Mahour GH (1988). "Sacrococcygeal teratomas". CA Cancer J Clin. 38 (6): 362–7. PMID 3141009.

[2] Mahour GH (1988). "Sacrococcygeal teratomas". CA Cancer J Clin. 38 (6): 362–7. PMID 3141009.

[3] Mahour GH (1988). "Sacrococcygeal teratomas". CA Cancer J Clin. 38 (6): 362–7. PMID 3141009.

[4] ttp://www.wscj.org/pdf/pdf_WSCJ_85.pdf

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[2]

[3]

[4]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Sacrococcygeal teratoma}}
-{{CMG}}
+{{CMG}}{{AE}}{{MGS}}
 ==Overview==
-'''Sacrococcygeal teratoma''' (SCT) is a [[teratoma]] (a kind of tumor) located at the base of the [[coccyx]] (tailbone). It is thought to be a derivative of the [[primitive streak]].
+Patient with sacrococcygeal teratoma usually are generally well-appearanceing. Physical examination of patients with sacrococcygeal teratoma is usually remarkable for a protruding pre sacral mass.<ref>{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref>
-==Physical examination==
+==Physical Examination==
+===General Apperance===
+*Patients with sacrococcygeal teratoma are generally well-appearing. Patients are oriented to time, place, and person. <ref>{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref>
+*Presentation may vary by age of the patient
+:*In utero - Mass extending off the caudal end
+:*In Infancy - asymptomatic or signs of obstruction of rectum or bladder
+:*At birth - usually a visible mass under the skin at the sacrococcygeal region.
-At [[birth]], the usual presentation is a visible lump or mass under the skin at the top of the buttocks crease.  If not visible, it can sometimes be felt; gently prodded, it feels somewhat like a hardboiled egg.  A small SCT, if it is entirely inside the body, may not present for years, until it grows large enough to cause pain, constipation and other symptoms of a large mass inside the [[pelvis]], or until it begins to extend out of the pelvis.  Even a relatively large SCT may be missed, if it is internal, because the bony [[pelvis]] conceals and protects it.  [[Mediastinal tumor]]s, including teratomas, are similarly concealed and protected by the [[rib cage]].
+===Neurological Examination===
+*Small sacrococcygeal teratomas don't present with any neurological deficits. <ref>{{cite journal |vauthors=Mahour GH |title=Sacrococcygeal teratomas |journal=CA Cancer J Clin |volume=38 |issue=6 |pages=362–7 |year=1988 |pmid=3141009 |doi= |url=}}</ref>
+*Large sacrococcygeal teratomas can present with paresis or paralysis if they compress the nerve.
-Some SCTs are discovered when a child begins to talk at about age 2 years and complains of their bottom hurting or feeling "poopy" when they ride in a car seat.
+===Rectal Examination===
+*Rectal mass causing pressure on rectum<ref>http://www.wscj.org/pdf/pdf_WSCJ_85.pdf</ref>
 ==References==
@@ Line 21: / Line 30: @@
 [[Category:Rare diseases]]
 [[Category:Pediatric cancers]]
-[[Category:Mature chapter]]
-[[de:Steißbeinteratom]]
 [[es:Teratoma sacrococcígeo]]
 [[fr:Tératome sacro-coccygien]]