Sacrococcygeal teratoma physical examination: Difference between revisions
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===General Apperance=== | ===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> | *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 | *Presentation may vary by the age of the patient | ||
:*In utero - Mass extending off the caudal end | :*In utero - Mass extending off the caudal end | ||
:*In Infancy - asymptomatic or signs of obstruction of rectum or bladder | :*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 - usually a visible mass under the skin at the sacrococcygeal region | ||
===Neurological Examination=== | ===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> | *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 | *Large sacrococcygeal teratoma can present with paresis or paralysis if they compress the nerve. | ||
===Rectal Examination=== | ===Rectal Examination=== | ||
*Rectal mass causing pressure on rectum<ref>http://www.wscj.org/pdf/pdf_WSCJ_85.pdf</ref> | *Rectal mass causing pressure on rectum.<ref>http://www.wscj.org/pdf/pdf_WSCJ_85.pdf</ref> | ||
==References== | ==References== | ||
Revision as of 16:27, 28 December 2015
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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.[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 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. [3]
- Large sacrococcygeal teratoma 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