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Use of intraoperative lateral pelvic X-ray to localize and ensure coccyx removal during sacrococcygeal teratoma resection

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A Letter to the Editor to this article was published on 03 April 2018

Abstract

En bloc removal of the coccyx during sacrococcygeal teratoma resection is necessary to decrease the risk of recurrence. However, variable anatomy often makes the border between the coccyx and sacrum difficult to identify. We describe the use of intraoperative lateral pelvic X-ray to localize this border and ensure complete coccygectomy.

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References

  1. Isaacs H Jr (2004) Perinatal (fetal and neonatal) germ cell tumors. J Pediatr Surg 39(7):1003–1013

    Article  PubMed  Google Scholar 

  2. Derikx JP, De Backer A, van de Schoot L, Aronson DC, de Langen ZJ, van den Hoonaard TL, Bax NM, van der Staak F, van Heurn LW (2006) Factors associated with recurrence and metastasis in sacrococcygeal teratoma. Br J Surg 93(12):1543–1548. doi:10.1002/bjs.5379

    Article  CAS  PubMed  Google Scholar 

  3. De Backer A, Madern GC, Hakvoort-Cammel FG, Haentjens P, Oosterhuis JW, Hazebroek FW (2006) Study of the factors associated with recurrence in children with sacrococcygeal teratoma. J Pediatr Surg 41(1):173–181. doi:10.1016/j.jpedsurg.2005.10.022 (discussion 173–181)

    Article  PubMed  Google Scholar 

  4. Ein SH, Mancer K, Adeyemi SD (1985) Malignant sacrococcygeal teratoma—endodermal sinus, yolk sac tumor—in infants and children: a 32-year review. J Pediatr Surg 20(5):473–477

    Article  CAS  PubMed  Google Scholar 

  5. Yao W, Li K, Zheng S, Dong K, Xiao X (2014) Analysis of recurrence risks for sacrococcygeal teratoma in children. J Pediatr Surg 49(12):1839–1842. doi:10.1016/j.jpedsurg.2014.09.036

    Article  PubMed  Google Scholar 

  6. Gross RW, Clatworthy HW Jr, Meeker IA Jr (1951) Sacrococcygeal teratomas in infants and children; a report of 40 cases. Surg Gynecol Obstet 92(3):341–354

    CAS  PubMed  Google Scholar 

  7. Chowdhury M, Pierro A (2006) Sacrococcygeal teratoma. In: Spitz L, Coran AG (eds) Operative pediatric surgery, 6th edn. Hodder Arnold, London, pp 725–732

    Chapter  Google Scholar 

  8. Rescorla FJ (2012) Teratomas and Other Germ Cell Tumors. In: Coran AG (ed) Pediatric Surgery, vol 1, 7th edn. Elsevier Saunders, Philadelphia, pp 507–516

    Chapter  Google Scholar 

  9. Altman RP, Randolph JG, Lilly JR (1974) Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973. J Pediatr Surg 9(3):389–398

    Article  CAS  PubMed  Google Scholar 

  10. Rescorla FJ, Sawin RS, Coran AG, Dillon PW, Azizkhan RG (1998) Long-term outcome for infants and children with sacrococcygeal teratoma: a report from the Childrens Cancer Group. J Pediatr Surg 33(2):171–176

    Article  CAS  PubMed  Google Scholar 

  11. Mann JR, Gray ES, Thornton C, Raafat F, Robinson K, Collins GS, Gornall P, Huddart SN, Hale JP, Oakhill A (2008) Mature and immature extracranial teratomas in children: the UK Children’s Cancer Study Group Experience. J Clin Oncol 26(21):3590–3597. doi:10.1200/jco.2008.16.0622

    Article  PubMed  Google Scholar 

  12. Huddart SN, Mann JR, Robinson K, Raafat F, Imeson J, Gornall P, Sokal M, Gray E, McKeever P, Oakhill A (2003) Sacrococcygeal teratomas: the UK Children’s Cancer Study Group’s experience I. Neonatal. Pediatr Surg Int 19(1–2):47–51. doi:10.1007/s00383-002-0884-2

    CAS  PubMed  Google Scholar 

  13. Lahdenne P, Heikinheimo M, Nikkanen V, Klemi P, Siimes MA, Rapola J (1993) Neonatal benign sacrococcygeal teratoma may recur in adulthood and give rise to malignancy. Cancer 72(12):3727–3731

    Article  CAS  PubMed  Google Scholar 

  14. Shalaby MS, Walker G, O’Toole S, Hammond P, Carachi R (2014) The long-term outcome of patients diagnosed with sacrococcygeal teratoma in childhood. A study of a national cohort. Arch Dis Child 99(11):1009–1013. doi:10.1136/archdischild-2014-306414

    Article  PubMed  Google Scholar 

  15. Wells RG, Sty JR (1990) Imaging of sacrococcygeal germ cell tumors. Radiographics 10(4):701–713. doi:10.1148/radiographics.10.4.2165626

    Article  CAS  PubMed  Google Scholar 

  16. Broome DR, Hayman LA, Herrick RC, Braverman RM, Glass RB, Fahr LM (1998) Postnatal maturation of the sacrum and coccyx: MR imaging, helical CT, and conventional radiography. AJR Am J Roentgenol 170(4):1061–1066. doi:10.2214/ajr.170.4.9530059

    Article  CAS  PubMed  Google Scholar 

  17. Postacchini F, Massobrio M (1983) Idiopathic coccygodynia. Analysis of fifty-one operative cases and a radiographic study of the normal coccyx. J Bone Jt Surg Am 65(8):1116–1124

    Article  CAS  Google Scholar 

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Correspondence to Sunghoon Kim.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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This procedure involving a human participant was in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.

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Informed consent was obtained from this patient’s legal guardian, and informed assent was obtained from the patient herself.

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Graves, C.E., Idowu, O., Zovickian, J. et al. Use of intraoperative lateral pelvic X-ray to localize and ensure coccyx removal during sacrococcygeal teratoma resection. Pediatr Surg Int 33, 389–392 (2017). https://doi.org/10.1007/s00383-016-4025-8

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  • DOI: https://doi.org/10.1007/s00383-016-4025-8

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