Abstract Archives of the RSNA, 2014
PDE013-b
Sacrococcygeal Teratomas in Newborns: Let’s Talk Details
Education Exhibits
Presented in 2014
Cum Laude
Selected for RadioGraphics
Hee Mang Yoon MD, Presenter: Nothing to Disclose
Hye-Kyung Yoon MD, Abstract Co-Author: Nothing to Disclose
Young Ah Cho, Abstract Co-Author: Nothing to Disclose
Jin Seong Lee MD, Abstract Co-Author: Nothing to Disclose
Ah Young Jung, Abstract Co-Author: Nothing to Disclose
Chong Hyun Yoon, Abstract Co-Author: Nothing to Disclose
Sacrococcygeal teratomas are relatively common in the newborn infants detected by the tail mass itself or by prenatal screening ultrasound. The diagnosis is not difficult in many cases; however, there should be additional information on imaging studies in order to manage those infants properly. Details include classification, histology, complications such as rupture or bleeding, mass effects on the adjacent structures causing hydronephrosis, bowel obstruction, or even hip dislocations. When the tumor is too big for a baby to be delivered safely, prenatal radiofrequency ablation could be one of treatment options
1. Principle of diagnostic imaging of sacrococcygeal teratoma
Imaging features according to morphologic classification and pathologic types of sacrococcygeal teratoma
2. Effects on Adjacent Structures on initial presentation
Bilateral or unilateral hip dislocation
Obstructive hydronephrosis and hydroureter
Inguinal hernia and hydrocele
Hydrocolpos and colonic distension
Rupture
Malignant transformation
Other associated anomaly
3. Clinical Management
Prenatal radiofrequency ablation
Postnatal surgical excision
Preoperative embolization
http://abstract.rsna.org/uploads/2014/14005560/14005560_6w5d.pdf
Yoon, H,
Yoon, H,
Cho, Y,
Lee, J,
Jung, A,
Yoon, C,
Sacrococcygeal Teratomas in Newborns: Let’s Talk Details . Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14005560.html