Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Jan-Mar;63(1):203-207.
doi: 10.47162/RJME.63.1.22.

Fetal sacrococcygeal immature teratoma - report of two cases and review of the literature

Affiliations
Review

Fetal sacrococcygeal immature teratoma - report of two cases and review of the literature

Mădălina Lucia Marcu et al. Rom J Morphol Embryol. 2022 Jan-Mar.

Abstract

Sacrococcygeal teratomas (SCTs) are rare congenital tumors. With the improvement of diagnostic imaging methods and follow-up protocols in pregnancies, in utero detection of these tumors has increased. Despite these progresses, SCTs may present difficulties in establishing in utero diagnosis and subsequent management. We present two cases of SCT in 18 weeks, respectively 22 weeks pregnancy, diagnosed using ultrasound imaging and pathologically confirmed. Also, the article aims to recapitulate clinicopathological aspects and prognosis of these lesions, following the review of the literature.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict of interests.

Figures

Figure 1
Figure 1
Macroscopic appearance of the fetal sacrococcygeal tumor (A). On cross-section (B), the tumor showed mixed (solid and cystic) structure
Figure 2
Figure 2
The lesion includes glandular structures and rosettes of nervous tissue (A), as well as cartilaginous foci (B). Hematoxylin–Eosin (HE) staining: (A and B) ×100
Figure 3
Figure 3
General macroscopic image of Case No. 2 (A) with a sacrococcygeal tumor of nodular, well defined, predominantly solid aspect on cross-section (B)
Figure 4
Figure 4
Microscopic examination shows mature and immature nervous tissue arranged in rosettes and neuroepithelial tubes (A), squamous epithelium and glandular structures (B), and cartilaginous foci (C). HE staining: (A–C) ×50

References

    1. Woodward PJ, Sohaey R, Kennedy A, Koeller KK. From the archives of the AFIP: a comprehensive review of fetal tumors with pathologic correlation. Radiographics. 2005;25(1):215–242. - PubMed
    1. Altman RP, Randolph JG, Lilly JR. Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey - 1973. J Pediatr Surg. 1974;9(3):389–398. - PubMed
    1. Avni FE, Guibaud L, Robert Y, Segers V, Ziereisen F, Delaet MH, Metens T. MR imaging of fetal sacrococcygeal teratoma: diagnosis and assessment. AJR Am J Roentgenol. 2002;178(1):179–183. - PubMed
    1. Chisholm CA, Heider AL, Kuller JA, von Allmen D, McMahon MJ, Chescheir NC. Prenatal diagnosis and perinatal management of fetal sacrococcygeal teratoma. Am J Perinatol. 1998;15(8):503–505. - PubMed
    1. Gross SJ, Benzie RJ, Sermer M, Skidmore MB, Wilson SR. Sacrococcygeal teratoma: prenatal diagnosis and management. Am J Obstet Gynecol. 1987;156(2):393–396. - PubMed