Malignant transformation in sacrococcygeal teratoma and in presacral teratoma associated with Currarino syndrome: A comparative study

被引：30
|
作者：
Dirix, Marc [1 ]
van Becelaere, Tine [1 ]
Berkenbosch, Lizanne [1 ]
van Baren, Robertine [2 ]
Wijnen, Rene M. [3 ]
Wijnen, Marc H. [4 ]
van der Zee, David C. [5 ]
Heij, Hugo A. [6 ]
Derikx, Joep P. M. [1 ]
van Heurn, L. W. Ernest [1 ]
机构：
[1] Maastricht Univ, Med Ctr, Dept Pediat Surg, NL-6200 MD Maastricht, Netherlands
[2] Univ Groningen, Univ Med Ctr Groningen, Dept Pediat Surg, Groningen, Netherlands
[3] Sophia Childrens Univ Hosp, Erasmus Med Ctr, Dept Pediat Surg, Rotterdam, Netherlands
[4] Radboud Univ Nijmegen, Med Ctr, Dept Pediat Surg, NL-6525 ED Nijmegen, Netherlands
[5] Univ Med Ctr, Wilhelmina Childrens Hosp, Dept Pediat Surg, Utrecht, Netherlands
[6] Vrije Univ Amsterdam, Med Ctr, Emma Childrens Hosp AMC, Pediat Surg Ctr Amsterdam, Amsterdam, Netherlands
来源：
JOURNAL OF PEDIATRIC SURGERY | 2015年 / 50卷 / 03期
关键词：
Sacrococcygeal teratoma; Currarino syndrome; Malignancy; YOLK-SAC TUMOR; TRIAD; PROPOSAL; CHILDREN;
D O I：
10.1016/j.jpedsurg.2014.07.014
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Background/purpose: The risk of malignant transformation of sacrococcygeal teratoma (SCT) and of presacral teratoma in Currarino syndrome (CS) may differ despite the similar position and appearance. Methods: Malignant transformation and teratoma recurrence were assessed in a national retrospective comparative analysis of 205 SCT and 16 CS patients treated in one of the six pediatric surgical centers in the Netherlands between January 1981 and December 2010. Results: The malignancy free survival of patients with SCT was lower than for patients with a presacral teratoma associated with CS (80% and 58% after one and two years in SCT versus 100% after two years in CS, p = 0.017) Conclusions: In SCT, malignancy and recurrence risk are high. Therefore, early and complete resection is mandatory. Our data show that the risk of malignant transformation of a presacral teratoma in CS is small. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码：462 / 464
页数：3
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