Sacrococcygeal teratoma

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A 1-month old infant undergoes resection of a predominantly cystic sacrococcygeal mass along with the coccyx, following MRI diagnosis of a suspected mature germ cell tumor (MRI demonstrates multilobular cystic mass (arrows) consistent with mature cystic teratoma). The pathology on the resected specimen was “mature cystic teratoma containing fat and respiratory epithelium, completely excised”. The serum alpha fetoprotein (AFP) measured immediately prior to surgery was 420ug/l, which is within the normal range for a 1-month old. Postoperative followup during the first year should be: [center][/center] [size=20px]A AFP, clinical examination, US at 6 months of …

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[size=20px]An infant is born at 36 weeks gestation with a prenatal diagnosis of sacrococcygeal teratoma (SCT). At birth, the diagnosis of a SCT is confirmed and it has a significant abdominal component. The baby undergoes an uneventful resection of the tumor and is found to have benign pathology. What is an important component of this baby’s follow-up prior to hospital discharge? A Ultrasonograpy of the hips B Anal manometry C Pulmonary function testing D No further followup required[/size]

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