Sacrococcycygeal Teratoma in Adult

Report of a Case
  • Mario Jucá
  • Felipe Farias de Oliveira
  • Edmundo Guilherme Gomes
  • Edmond Le Campion



Sacrococcygeal teratomas are neoplasias, which are most frequently found in infants, with the sacrococcígea area being the most frequently found extragonadal location.

Aim of the Study

To describe a sacrococcygeal teratoma in a 51-year-old adult patient and discuss the diagnosis and management.


The case of a 51-year-old woman who had a sacrococcygeal teratoma. Computed tomography showed a mass containing calcification. Early signs were when she experienced acute lower back pain upon leaning over or sitting.


The tumor appeared first as a sacral swelling. The patient also claimed disturbances in her bowel functioning. Computed tomography (CT) showed the tumor and its relationship inside the pelvic cavity. Surgical ablation was performed on the entire tumor and the coccyx was preserved.


The surgical block was sent to pathological exam, which showed it to be a mature sacrococcygeal teratoma. A good clinical evolution took place after resection.


teratoma sacrococcygeal teratoma congenital tumors 



We gratefully acknowledge Fátima Medeiros, MD for her illustrations.


  1. 1.
    Ahmed HA, Pollock DJ. Malignant sacrococcygeal teratoma in the adult. Histopathology 1985;9:359–63.PubMedCrossRefGoogle Scholar
  2. 2.
    Altman RP, Randolph JG, Lily JR. Sacrococcygeal teratoma. J Pediatr Surg 1974;9:389–98.PubMedCrossRefGoogle Scholar
  3. 3.
    Audet IM, Goldhahn RT, Dent TL. Adult sacrococcygeal teratomas. Am Surg 2000;66:61–5.PubMedGoogle Scholar
  4. 4.
    Bull J, Yeh KA, McDonnell D, Caudell P, Davis J. Mature presacral teratoma in an adult male: a case report. Am Surg 1999;65:586–91.PubMedGoogle Scholar
  5. 5.
    El Banna SA, Delahaut O, Hustin J. Tératome sacro-coccygien de l’adulte. Acta Orthop Belg 1993;59:90–3.PubMedGoogle Scholar
  6. 6.
    Falavigna A, Gandara C, Ferraz FAP, Saciloto B. Teratoma sacrococcígeo: relato de três casos. Arq Neuro-Psiquiatr 2004;62:45–7.Google Scholar
  7. 7.
    Harbon S, Pheline Y. Tératome sacro-coccygien géant de l’adulte. Ann Chir Plast Esthet 1989;34:153–9.PubMedGoogle Scholar
  8. 8.
    Head HD, Gerstein JD, Muir RW. Presacral teratoma in the adult. Am Surg 1975;41:240–8.PubMedGoogle Scholar
  9. 9.
    Hild P, Link KH. Maligne entartetes Steissbeinteratom bein Erwachsenen. Chirurg 1982;53:117–9.PubMedGoogle Scholar
  10. 10.
    Kling S. Sacrococcygeal teratoma. Can J Surg 1969;12:22–6.PubMedGoogle Scholar
  11. 11.
    Leslie C, Kapellman RM, Vázquez E, Wolpert E. Teratoma sacrocoxígeo: presentación de un caso en un adulto y revisión de la literatura. Rev Invest Clin 1977;29:33–41.PubMedGoogle Scholar
  12. 12.
    Maganini RJ. Sacrococcygeal (presacral) teratomas occurring in adults siblings. IMJ Med 1967;132:708–11.Google Scholar
  13. 13.
    Miles RM, Johnson JW. Giant adult malignant sacrococcygeal teratoma. Successful treatment by combined abdominosacral resection. Am Surg 1991;57:425–30.PubMedGoogle Scholar
  14. 14.
    Miles RM, Stewart GS. Sacrococcygeal teratomas in adult. Ann Surg 1974;179:676–83.PubMedCrossRefGoogle Scholar
  15. 15.
    Monteiro M, Cunha TM, Catarino A, Tomé V. Case report: sacrococcygeal teratoma with malignant transformation in an adult female: CT and MRI findings. Br J Radiol 2002;75:620–3.PubMedGoogle Scholar
  16. 16.
    Ng EW, Porcu P, Loehrer PJ. Sacrococcygeal teratoma in adults: case reports and a review of the literature. Cancer 1999;86:1198–202.PubMedCrossRefGoogle Scholar
  17. 17.
    Pennaforte JL, Menanteau B, Etienne JC. Malignant sacrococcygeal teratoma in an adult. Can Assoc Radiol J 1990;41:229–31.PubMedGoogle Scholar

Copyright information

© Humana Press Inc. 2007

Authors and Affiliations

  • Mario Jucá
    • 1
    • 2
    • 3
    • 4
  • Felipe Farias de Oliveira
    • 1
    • 3
    • 4
  • Edmundo Guilherme Gomes
    • 1
    • 3
    • 4
  • Edmond Le Campion
    • 1
    • 3
    • 4
  1. 1.Coloproctology Discipline, Department of SurgeryUniversity Federal of AlagoasMaceióBrazil
  2. 2.TCRS-SWMCDallasUSA
  3. 3.Department of General SurgeryUniversity Hospital of the School of Medicine, University Federal of AlagoasMaceióBrazil
  4. 4.Discipline of ColoproctologyUniversity Federal of AlagoasMaceióBrazil

Personalised recommendations