Document Detail

Urogenital anomalies in girls with sacrococcygeal teratoma: a commonly missed association.
MedLine Citation:
PMID:  22325393     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The association of urogenital (UG) anomalies and sacrococcygeal teratoma (SCT) has not been widely reported. Our aim was to look at the national incidence and presentation of this anomaly in patients with SCT and to provide the first report of a clear anatomical description of this commonly missed association.
METHODS: Sacrococcygeal teratoma cases in Scotland during the last 30 years were identified. Patients with associated UG anomalies were reviewed in detail to identify their presentation, anatomy, and management.
RESULTS: Fifty-three patients with SCT were identified, including 41 girls. Five girls (12%) subsequently had a UG anomaly diagnosed, which was not apparent at the initial surgery. Two patients presented with retention, and their anomaly was diagnosed at 6 weeks and 7 months of age. The other 3 presented with incontinence, and despite thorough assessment, including cystoscopy, their UG anomalies were not recognized until the ages of 7, 9, and 13 years.
CONCLUSIONS: Urogenital anomalies are surprisingly common in girls with SCT. The reason for this association is unclear. None of these cases were diagnosed initially, which means that it was either missed or acquired. Urogenital anomalies should be suspected in girls with SCT and actively excluded in those with voiding difficulties.
Mohamed Sameh Shalaby; Stuart O'Toole; Chris Driver; Tim Bradnock; Jimmy Lam; Robert Carachi
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  47     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-13     Completed Date:  2012-06-28     Revised Date:  2013-03-21    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  371-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Department of Paediatric Surgery, Royal Hospital for Sick Children, Glasgow, UK.
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MeSH Terms
Delayed Diagnosis
Hydrops Fetalis / epidemiology
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / epidemiology
Magnetic Resonance Imaging
Neoplasm Recurrence, Local
Retrospective Studies
Sacrococcygeal Region
Scotland / epidemiology
Teratoma / epidemiology*,  surgery
Urethra / abnormalities
Urethral Diseases / epidemiology
Urinary Bladder / abnormalities,  surgery
Urinary Diversion
Urinary Fistula / epidemiology
Urination Disorders / etiology
Urogenital Abnormalities / diagnosis,  epidemiology*
Vaginal Fistula / epidemiology
Comment In:
J Urol. 2013 Mar;189(3):1089   [PMID:  23394672 ]

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