70-80% of all teratomas are located in sacrococcygeal area
IMAGING
General Features
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Masahata K et al: Long-term functional outcome of sacrococcygeal teratoma after resection in neonates and infants: a single-center experience. Pediatr Surg Int. 36(11):1327-32, 2020
Gebb JS et al: High tumor volume to fetal weight ratio is associated with worse fetal outcomes and increased maternal risk in fetuses with sacrococcygeal teratoma. Fetal Diagn Ther. 45(2):94-101, 2019
Hambraeus M et al: Long-term outcome of sacrococcygeal teratoma: a controlled cohort study of urinary tract and bowel dysfunction and predictors of poor outcome. J Pediatr. 198:131-6.e2, 2018
Lee SM et al: Antenatal prediction of neonatal survival in sacrococcygeal teratoma. J Ultrasound Med. 37(8):2003-9, 2018
Kremer ME et al: Hemorrhage is the most common cause of neonatal mortality in patients with sacrococcygeal teratoma. J Pediatr Surg. 51(11):1826-9, 2016
Akinkuotu AC et al: Predictors of poor prognosis in prenatally diagnosed sacrococcygeal teratoma: a multiinstitutional review. J Pediatr Surg. 50(5):771-4, 2015
Arisoy R et al: Prenatal diagnosis and outcomes of fetal teratomas. J Clin Ultrasound. 44(2):118-25, 2015
Kremer ME et al: Quality of life in adulthood after resection of a sacrococcygeal teratoma in childhood: a Dutch multicentre study. Arch Dis Child Fetal Neonatal Ed. 100(3):F229-32, 2015
Coleman A et al: Sacrococcygeal teratoma growth rate predicts adverse outcomes. J Pediatr Surg. 49(6):985-9, 2014
Van Mieghem T et al: Minimally invasive therapy for fetal sacrococcygeal teratoma: case series and systematic review of the literature. Ultrasound Obstet Gynecol. 43(6):611-9, 2014
Partridge EA et al: Urologic and anorectal complications of sacrococcygeal teratomas: prenatal and postnatal predictors. J Pediatr Surg. 49(1):139-42; discussion 142-3, 2014
Coleman A et al: Prenatal solid tumor volume index: novel prenatal predictor of adverse outcome in sacrococcygeal teratoma. J Surg Res. 184(1):330-6, 2013
Grammatikopoulou I et al: Immature malignant sacrococcygeal teratoma: case report and review of the literature. Clin Exp Obstet Gynecol. 40(3):437-9, 2013
Shue E et al: Tumor metrics and morphology predict poor prognosis in prenatally diagnosed sacrococcygeal teratoma: a 25-year experience at a single institution. J Pediatr Surg. 48(6):1225-31, 2013
Draper H et al: Long-term functional results following resection of neonatal sacrococcygeal teratoma. Pediatr Surg Int. 25(3):243-6, 2009
Sy ED et al: Prognostic role of tumor-head volume ratio in fetal sacrococcygeal teratoma. Fetal Diagn Ther. 26(2):75-80, 2009
Makin EC et al: Outcome of antenatally diagnosed sacrococcygeal teratomas: single-center experience (1993-2004). J Pediatr Surg. 41(2):388-93, 2006
Woodward PJ et al: From the archives of the AFIP: a comprehensive review of fetal tumors with pathologic correlation. Radiographics. 25(1):215-42, 2005
Hedrick HL et al: Sacrococcygeal teratoma: prenatal assessment, fetal intervention, and outcome. J Pediatr Surg. 39(3):430-8; discussion 430-8, 2004
Avni FE et al: MR imaging of fetal sacrococcygeal teratoma: diagnosis and assessment. AJR Am J Roentgenol. 178(1):179-83, 2002
Related Anatomy
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References
Tables
Tables
KEY FACTS
Imaging
Clinical Issues
TERMINOLOGY
Abbreviations
Sacrococcygeal teratoma (SCGT)
Definitions
Neoplasm derived from all 3 germ cell layers
Ectoderm, mesoderm, endoderm
70-80% of all teratomas are located in sacrococcygeal area
IMAGING
General Features
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Masahata K et al: Long-term functional outcome of sacrococcygeal teratoma after resection in neonates and infants: a single-center experience. Pediatr Surg Int. 36(11):1327-32, 2020
Gebb JS et al: High tumor volume to fetal weight ratio is associated with worse fetal outcomes and increased maternal risk in fetuses with sacrococcygeal teratoma. Fetal Diagn Ther. 45(2):94-101, 2019
Hambraeus M et al: Long-term outcome of sacrococcygeal teratoma: a controlled cohort study of urinary tract and bowel dysfunction and predictors of poor outcome. J Pediatr. 198:131-6.e2, 2018
Lee SM et al: Antenatal prediction of neonatal survival in sacrococcygeal teratoma. J Ultrasound Med. 37(8):2003-9, 2018
Kremer ME et al: Hemorrhage is the most common cause of neonatal mortality in patients with sacrococcygeal teratoma. J Pediatr Surg. 51(11):1826-9, 2016
Akinkuotu AC et al: Predictors of poor prognosis in prenatally diagnosed sacrococcygeal teratoma: a multiinstitutional review. J Pediatr Surg. 50(5):771-4, 2015
Arisoy R et al: Prenatal diagnosis and outcomes of fetal teratomas. J Clin Ultrasound. 44(2):118-25, 2015
Kremer ME et al: Quality of life in adulthood after resection of a sacrococcygeal teratoma in childhood: a Dutch multicentre study. Arch Dis Child Fetal Neonatal Ed. 100(3):F229-32, 2015
Coleman A et al: Sacrococcygeal teratoma growth rate predicts adverse outcomes. J Pediatr Surg. 49(6):985-9, 2014
Van Mieghem T et al: Minimally invasive therapy for fetal sacrococcygeal teratoma: case series and systematic review of the literature. Ultrasound Obstet Gynecol. 43(6):611-9, 2014
Partridge EA et al: Urologic and anorectal complications of sacrococcygeal teratomas: prenatal and postnatal predictors. J Pediatr Surg. 49(1):139-42; discussion 142-3, 2014
Coleman A et al: Prenatal solid tumor volume index: novel prenatal predictor of adverse outcome in sacrococcygeal teratoma. J Surg Res. 184(1):330-6, 2013
Grammatikopoulou I et al: Immature malignant sacrococcygeal teratoma: case report and review of the literature. Clin Exp Obstet Gynecol. 40(3):437-9, 2013
Shue E et al: Tumor metrics and morphology predict poor prognosis in prenatally diagnosed sacrococcygeal teratoma: a 25-year experience at a single institution. J Pediatr Surg. 48(6):1225-31, 2013
Draper H et al: Long-term functional results following resection of neonatal sacrococcygeal teratoma. Pediatr Surg Int. 25(3):243-6, 2009
Sy ED et al: Prognostic role of tumor-head volume ratio in fetal sacrococcygeal teratoma. Fetal Diagn Ther. 26(2):75-80, 2009
Makin EC et al: Outcome of antenatally diagnosed sacrococcygeal teratomas: single-center experience (1993-2004). J Pediatr Surg. 41(2):388-93, 2006
Woodward PJ et al: From the archives of the AFIP: a comprehensive review of fetal tumors with pathologic correlation. Radiographics. 25(1):215-42, 2005
Hedrick HL et al: Sacrococcygeal teratoma: prenatal assessment, fetal intervention, and outcome. J Pediatr Surg. 39(3):430-8; discussion 430-8, 2004
Avni FE et al: MR imaging of fetal sacrococcygeal teratoma: diagnosis and assessment. AJR Am J Roentgenol. 178(1):179-83, 2002
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