Sacrococcygeal teratoma physical examination

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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.

Physical Examination

General Apperance

• Patients with sacrococcygeal teratoma are generally well-appearing. Patients are oriented to time, place, and person.
• Presentation may vary by the 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.
• Large sacrococcygeal teratoma can present with paresis or paralysis if they compress the nerve.

Rectal Examination

• Rectal mass causing pressure on rectum.