Surgical thyrapy for adult presacral cystic teratoma: report of 16 cases

VernacularTitle:手术治疗成人骶尾前囊性畸胎瘤16例
Author: Feng GAO ; Ming XU ; Feng SONG ; Yong ZHAO
Publication Type:Journal Article
Keywords: Teratoma; Surgical procedures,operative; Sacrum; Adult
From: Chinese Journal of General Surgery 2013;28(8):576-578
CountryChina
Language:Chinese
Abstract: Objective To investigate the surgical approach for adult patients with presacral cystic teratoma.Methods In this study,16 female patients,aged at 26-45 years,with presacral cystic teratoma underwent surgical resection between March 2007 and August 2012.Tumor was primary in 9 cases and recurrent in 7 cases,Rectal examination revealed retrorectal tough semi-circular poorly movable massess with intact rectal mucosa.MR examination showed cystic or solid mass in the anterior sacral,clear boundary,rectum and or vagina compressed.Tumors were completely removed in all cases.Results All patients were cured by surgery,13 cases were cured by one stage resection and 1 was cured by two stage resection.Two cases suffered from recurrence and was cured by reoperation.There were no injury to rectum,anal sphincter,cauda equina,presacral vein.Pathological diagnosis was cystic teratoma.Conclusions By sacrococcygeal surgical resection of presacral cystic teratoma was safe and effective ; complete resection of the tumor capsule is the key to successful operation.