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Sonographic demonstration of fetal sacrococcygeal teratoma
Authors:Wolfgang Holzgreve  Barry S. Mahony  Philip L. Glick  Roy A. Filly  Michael R. Harrison  Alfred A. Delorimier  Alfred C. Holzgreve  Klaus M. Muller  Peter W. Callen  Robert L. Anderson  Mitchell S. Golbus
Affiliation:Departments of Obstetrics, Gynecology and Reproductive Sciences, of Radiology, and of Surgery, University of California, San Francisco, U.S.A.

Department of Pathology and Surgery, Westf. Wilhelms-Universität, Muenster, West Germany

Abstract:Six cases of sonographically diagnosed fetal sacrococcygeal teratoma (SCT) are presented and illustrate the variable features of fetal SCT. The sonographic findings assisted the parents and perinatal team in making decisions, and in two of the cases the children survived after elective Cesarean section and prompt neonatal resection of the tumors. None of the patients showed signs of malignant degeneration of the teratoma or metastases. Fetal SCT no longer should be considered a uniformly fatal condition. The literature on sacrococcygeal teratoma detected after birth indicates that the mortality rate is correlated with the degree of extension of the tumor. Therefore, the classification of sonographically diagnosed fetal SCT according to its size and position is important for decisions regarding pregnancy management.
Keywords:Sacrococcygeal teratoma  Ultrasound  Fetal tumors
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