Long-term outcomes of surgery for malignant sacrococcygeal teratoma: 20-year experience of a regional UK centre.
Pediatr Surg Int
; 25(3): 247-50, 2009 Mar.
Article
em En
| MEDLINE
| ID: mdl-19184053
ABSTRACT
BACKGROUND:
The timing of surgery for malignant sacrococcygeal teratoma is controversial. The long-term outcomes and complications of surgery for this rare tumour are presented.METHODS:
All cases of malignant sacrococcygeal teratoma in the 20-year period 1987-2006 were identified and the case notes retrieved. The age at diagnosis, investigations, presentation, type of surgery, early complications, recurrence rates, long-term complications and outcomes were recorded.RESULTS:
Twelve patients (three males, nine females) were identified. Mean age at presentation was 20.8 months (range 12-39 months). All had the Carboplatin-Etoposide-Bleomycin chemotherapeutic protocol. The average time of follow-up was 10.6 years (range 1-17 years). Ten patients had excision of their tumours following chemotherapy, whilst two patients had excision prior to chemotherapy. Two patients had recurrence of their tumours. There was one death (8%), which was due to disseminated metastasis. The other 11 children were all well at the last follow-up.CONCLUSION:
Surgery for malignant sacrococcygeal teratoma is safe and has a low complication rate. The long-term outcomes are favourable with minimal side effects.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Coluna Vertebral
/
Teratoma
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Protocolos de Quimioterapia Combinada Antineoplásica
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child, preschool
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Female
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Humans
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Infant
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Male
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article