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.[1]
Physical Examination
General Apperance
- Patients with sacrococcygeal teratoma are generally well-appearing. Patients are oriented to time, place, and person. [1]
- 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. [1]
- Large sacrococcygeal teratoma can present with paresis or paralysis if they compress the nerve.
Rectal Examination
- Rectal mass causing pressure on rectum.