Sacrococcygeal teratoma history and symptoms: Difference between revisions

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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.
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.
Other tumors can occur in the sacrococcygeal and/or presacral regions<ref name="pmid6366733">{{cite journal
| author = Bale PM
| title = Sacrococcygeal developmental abnormalities and tumors in children.
| journal = Perspectives in pediatric pathology
| volume = 8
| issue = 1
| pages = 9-56
| year = 1984
| pmid = 6366733
| doi =
| issn =
}}</ref> and hence must be ruled out to obtain a [[differential diagnosis]].  These include [[ependymoma|extraspinal ependymoma]]<ref name="pmid10726703">{{cite journal
| author = Aktuğ T, Hakgüder G, Sarioğlu S, Akgür FM, Olguner M, Pabuçcuoğlu U
| title = Sacrococcygeal extraspinal ependymomas: the role of coccygectomy.
| journal = J. Pediatr. Surg.
| volume = 35
| issue = 3
| pages = 515-8
| year = 2000
| pmid = 10726703
| doi =
| issn =
}}</ref>, [[neuroblastoma]] and [[rhabdomyosarcoma]].  Smaller SCTs with an external component, seen in prenatal ultrasounds or at birth, often are mistaken for [[spina bifida]].


==References==
==References==

Revision as of 18:51, 13 January 2012

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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.

History and symptoms

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 tumors, including teratomas, are similarly concealed and protected by the rib cage.

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.

References

Template:Congenital malformations and deformations of nervous system Template:Tumors Template:Epithelial neoplasms Template:Pathology Template:Joints of torso

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