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Case Reports
. 2016 Mar;60(1):21-5.

Benign sacrococcygeal teratoma incidentally found on routine scoliosis radiographs in a 12-year-old female: a case report

Kelly M Cunningham  1 , Govind B Chavhan  2 , Kelly E Ainsworth  3
Affiliations
Case Reports

Benign sacrococcygeal teratoma incidentally found on routine scoliosis radiographs in a 12-year-old female: a case report

Kelly M Cunningham et al. J Can Chiropr Assoc. 2016 Mar.

Abstract
in English, French

Objective: To describe the imaging characteristics of sacrococcygeal teratomas and to review appropriate diagnostic evaluation and management.

Clinical features: 12-year-old otherwise healthy, asymptomatic female with an incidental pelvic mass found on routine scoliosis radiographs.

Intervention and outcome: The pelvic mass was further evaluated by MRI and CT scan. Management consisted of successful surgical resection with no postoperative complications. Pathology confirmed a mature, benign, sacrococcygeal teratoma.

Conclusions: Chiropractors manage patients with scoliosis, which may include radiographic surveillance. Familiarity with the radiographic features of masses such as sacrococcygeal teratomas is important for prompt diagnosis and management.

Objectif: Décrire les caractéristiques d’imagerie des tératomes sacrococcygiens et examiner l’évaluation et la prise en charge du diagnostic approprié.

Caractéristiques cliniques: Jeune fille asymptomatique de 12 ans en bonne santé avec une masse pelvienne découverte fortuitement après des radiographies de routine pour la scoliose.

Intervention et résultats: La masse pelvienne a davantage été évaluée à partir d’images d’IRM et de TDM. La solution était la résection chirurgicale réussie sans complications postopératoires. La pathologie a confirmé un tératome sacrococcygien mature bénin.

Conclusions: Les chiropraticiens prennent en charge les patients atteints de scoliose, ce qui peut inclure la surveillance radiographique. La familiarité avec les caractéristiques radiographiques des masses, comme les tératomes sacrococcygiens, est importante pour leur diagnostic et la prise en charge rapide.

Keywords: pediatric; sacrococcygeal teratoma.

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Figures

Figure 1:
Figure 1:
A. Posteroanterior full spine radiograph shows a calcified, and likely ossified, amorphous pelvis mass (arrowhead). (right) B. Cropped, magnified view of pelvic mass.
Figure 2:
Figure 2:
A. Axial T1 Spin Echo, B. Sagittal T2 Fat Saturated (FS) Fast Spin Echo MR images of the pelvis show a large heterogeneous presacral mass (arrows). The mass shows a component with fluid-fluid level (asterisk) and calcified component (arrowhead).
Figure 3:
Figure 3:
Sagittal unenhanced CT image of the pelvis shows the presacral mass (arrows) containing fat (asterisk), calcification (arrowhead) and soft tissue. The calcified components show hyperdense attenuation on CT image.
None
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