Large neonatal sacrococcygeal teratoma in rural Palestine: A case report
Neveen Shalalfa1
, Shatha Wajeeh2, Wael Amro3, Tasneem Farakhna4, Malak Addase5, Javid Mohammadzadeh Azarabadi6
1Department of Family Medicine, Palestine Polytechnic University, Hebron, Palestinian Territories
2Medical Student, Palestine Polytechnic University, Hebron, Palestinian Territories
3Department of Pediatric Surgery, Alquds University, Alquds, Palestinian Territories
4Medical Student, Alquds University, Alquds, Palestinian Territories
5Medical Student, Alquds University, Alquds, Palestinian Territories
6Department of Orthopedics and Traumatology, Başkent University, Konya, Türkiye
Keywords: Neonate, sacrococcygeal teratoma, surgery
Abstract
The majority of solid tumors in newborns are sacrococcygeal teratomas (SCTs). These tumors originate in the sacrococcygeal region and contain tissue from all three germ layers. Nearly one in every 35,000 to 40,000 live births may be affected. Although the tumor is typically benign, the likelihood of malignant progression increases with the increasing age. The development of a mature teratoma can be attributed to either a pathological transformation of primordial germ cells or the development of a single germ cell tumor following the completion of the first phase of meiosis and the failure of meiosis type 2. Immature teratoma is associated with the malignant transformation of primitive germ cell layers and the renaissance of the primitive node. The diagnosis is not difficult and imaging provides the information to adequately care for affected infants. Histology, morphological categorization, problems such as hemorrhage or rupture, and mass effects are of utmost importance. Imaging features help to distinguish malignant tumors from benign tumors. However, imaging cannot predict the tumor’s histological subtypes. Surgical resection is the primary method of treatment. In this article, we report a case of large neonatal SCT from rural Palestine and treated with resection and flap reconstruction.
Citation: Shalalfa N, Wajeeh S, Amro W, Farakhna T, Addase M, Azarabadi JM. Large neonatal sacrococcygeal teratoma in rural Palestine: A case report. Turkish J Ped Surg 2024;38(3):116-120. doi: 10.62114/JTAPS.2024.28.
Idea/concept: N.S.; Design, control/supervision: W.A., J.M.A.; Data collection and/or processing: T.F., M.A.; Analysis and/or interpretation: M.A.; Literature review: S.W.; Writing the article: N.S., S.W.; Critical review: W.A., M.A.; References and fundings: N.S., J.M.A.; Materials: W.A.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.
Data Sharing Statement:
The data that support the findings of this study are available from the corresponding author upon reasonable request.