爱尔兰人对骶尾部畸胎瘤的经验——IV型病变比我们想象的更常见吗?

IF 1.5 3区 医学 Q2 PEDIATRICS
European Journal of Pediatric Surgery Pub Date : 2024-10-01 Epub Date: 2023-10-04 DOI:10.1055/a-2185-9018
Gavin Alan Kane, Alan Mortell, John Gillick, Sri Paran Thambipillai, Salvatore Cascio
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引用次数: 0

摘要

爱尔兰人患骶尾部畸胎瘤的经历——IV型病变比我们想象的更常见吗?引言骶尾部畸胎瘤(SCT)是一种罕见的肿瘤,约35000至40000名活产婴儿中就有1人发生。奥特曼分类用于描述SCT。共有四种类型,其中1型主要是从外部到IV型,这是一种骶前完全内部的肿块。据作者所知,这是第一项关注IV型SCT病变的研究。材料和方法使用ICD-10-AM代码,我们确定了2004年至2020年爱尔兰共和国所有诊断为骶尾部畸胎瘤的患者。为每位患者获得以下信息:;性别、诊断时间、临床表现、诊断方法、奥特曼分类、生物标志物、手术年龄、手术技术、病理学、复发、最近随访的年龄。结果共29例;23名女性(79%)和6名男性(21%)。16例(55%)产前诊断,4例(14%)产前诊断
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Irish Experience with Sacrococcygeal Teratomas: Are Type IV Lesions More Common than We Think?

Introduction:  Sacrococcygeal teratomas (SCTs) are rare tumors occurring in approximately 1 in 35,000 to 40,000 live births. The Altman classification is used to describe SCTs. There are four types, with type 1 predominantly external through to type IV which is a presacral, completely internal mass. As far as the authors are aware, this is the first study to focus on type IV SCT lesions.

Materials and methods:  Using ICD-10-AM (The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification) codes, we identified all patients in the Republic of Ireland with a diagnosis of SCT from 2004 to 2020. The following information was obtained for each patient: gender, time of diagnosis, clinical presentation, method of diagnosis, Altman classification, biomarkers, age at operation, surgical technique, pathology, recurrence, and age at most recent follow-up.

Results:  There were 29 patients in total; 23 females (79%) and 6 males (21%). In total, 16 (55%) were diagnosed antenatally, 4 (14%) at less than 1 month, 4 (14%) less than 1 year, 3 (10%) age 2 to 4 years, and 2 (7%) were aged 5 to 12 years. In addition, 22 (76%) were mature teratomas, 2 (7%) immature teratomas, and 5 (17%) were malignant tumors. There were 6 (21%) type I lesions, 9 (30%) type II, 6 (21%) type III, and 8 (28%) type IV lesions.

Conclusion:  In Altman's original 1974 study, type IV lesions were present in 10% of cases. As a result, this is the most frequently quoted figure. Type IV lesions were present in 28% of cases in our study. We propose that type IV lesions may be more common than the current literature suggests and consequently a higher index of suspicion of their presence should be entertained.

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来源期刊
CiteScore
3.90
自引率
5.60%
发文量
66
审稿时长
6-12 weeks
期刊介绍: This broad-based international journal updates you on vital developments in pediatric surgery through original articles, abstracts of the literature, and meeting announcements. You will find state-of-the-art information on: abdominal and thoracic surgery neurosurgery urology gynecology oncology orthopaedics traumatology anesthesiology child pathology embryology morphology Written by surgeons, physicians, anesthesiologists, radiologists, and others involved in the surgical care of neonates, infants, and children, the EJPS is an indispensable resource for all specialists.
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