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Virtual Pediatric Hospital: Paediapaedia: Sacrococcygeal Teratoma Paediapaedia: Genitourinary Diseases

Sacrococcygeal Teratoma

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
Frequently present in the newborn as large mass arising between the coccyx and anus.

Etiology/Pathophysiology:
Neoplasm containing sebaceous material, hair, dental derivatives and bone. When excised in the newborn all are benign, when excised in older children many more are malignant.

Pathology:
Not applicable

Imaging Findings:
The abdominal plain film shows calcifications in 60% and an intact sacrum with the mass being presacral in location.

Computed tomography shows a unilocular or multilocular cystic lesion containing mixed contents. Part of mass is external and part is intrapelvic.

DDX:

References:

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