Abstract
Background
Sacrococcygeal teratoma accounts for the most common solid tumor in neonates. Because
of improved technology, 50%-70% of cases can be diagnosed antenatally during routine
ultrasound screenings. If not diagnosed antenatally, clinical findings at birth are
distinct in most cases including a palpable or visible mass.
Case
We report an unusual case of a 1-year-old girl who presented with persistent vaginal
discharge leading to diagnosis of a mucosal polypoid lesion of the vagina, ultimately
revealing a hidden sacrococcygeal teratoma.
Summary and Conclusion
We suggest thorough investigation of all infants who present with purulent discharge
and recurrent vaginal mass; sacrococcygeal teratoma should routinely be considered
as a differential diagnosis.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric and Adolescent GynecologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Long-term outcome for infants and children with sacrococcygeal teratoma: a report from the Childrens Cancer Group.J Pediatr Surg. 1998; 33: 171
- Survey of congenital tumors in perinatal necropsies.Pathology. 1992; 24: 247
- Sacrococcygeal teratomas in newborns: a comprehensive review for the radiologists.Acta Radiol. 2018; 59: 236-246
- Factors associated with recurrence and metastasis in sacrococcygeal teratoma.Br J Surg. 2006; 93: 1543
- Analysis of recurrent sacrococcygeal teratoma in children: clinical features, relapse risks, and anorectal functional sequelae.Med Sci Monit. 2017; 23: 17
- From the archives of the AFIP: a comprehensive review of fetal tumors with pathologic correlation.Radiographics. 2005; 25: 215
- Tumours of the fetal body: a review.Pediatr Radiol. 2009; 39: 1147
- Prenatal ultrasound findings of fetal neoplasms.Korean J Radiol. 2002; 3: 64-73
- A rare case of vaginal dermoid cyst: a case report and review of literature.Int J Infertil Fetal Med. 2012; 3: 102
- Is vaginal dermoid cyst a rare occurrence or a misnomer? A case report and review of the literature.Ultrasound Obstet Gynecol. 2003; 21: 404
- Vaginal teratoma: a case report and review of the literature.J Obstet Gynaecol. 2015; 35: 757
- Embryonal rhabdomyosarcoma of the cervix presenting as a cervical polyp in a 16-year-old adolescent: a case report.J Med Case Rep. 2014; 8: 241
- Rhabdomyosarcoma of the vagina in an adolescent girl.J Pediatr Adolesc Gynecol. 2017; 5: 1083
- Embryonal rhabdomyosarcoma of the uterine cervix: a report of 14 cases and a discussion of its unusual clinicopathological associations.Mod Pathol. 2012; 25: 602
- Vaginal discharge and bleeding in girls younger than 6 years.J Urol. 2006; 176: 2632
- An unexpected cause of vaginal bleeding: the role of pelvic radiography.BMJ Case Rep. 2014; 2014 (bcr2013202958)
- Foreign body in vagina: a cause of persistent vaginal discharge in children.Int J Reprod Contracept Obstet Gynecol. 2013; 2: 224
- Foreign body in vagina–an uncommon cause of vaginitis in children.Indian J Pediatr. 1999; 66: 466
- Continuous-flow vaginoscopy in children and adolescents.J Am Assoc Gynecol Laparosc. 2000; 7: 526
- Prepubertal vaginal discharge: vaginoscopy to rule out foreign body.Turk J Pediatr. 2016; 58: 168
- Vaginal foreign body: a delayed diagnosis.J Pediatr Adolesc Gynecol. 2014; 27: e127
- A rare case of foreign body causing recurrent vaginal discharge in prepubertal child.J Clin Diagn Res. 2015; 9: QD03
- Vaginal polyps and hormones–is there a link? A case series.Maturitas. 2006; 53: 351
- Vaginal polyp in a newborn–a case report and review of the literature.Clin Pediatr (Phila). 1990; 29: 346
- Vaginal polyp in a newborn.Eur J Pediatr. 2008; 167: 599
- Fibroepithelial vaginal polyp in a newborn.Urol Ann. 2015; 7: 277
- Vaginal fibroepithelial polyp in a neonate: a rare case.Eur J Obstet Gynecol Reprod Biol. 2016; 203: 340
- Fibroepithelial polyps of the vagina: are they old granulation tissue polyps.J Clin Pathol. 1992; 45: 235
- Teratomas in infancy and childhood.Med Pediatr Oncol. 1998; 31: 8
- Sacrococcygeal teratoma: prenatal assessment, fetal intervention, and outcome.J Pediatr Surg. 2004; 39 ([discussion: 430]): 430
- Sacrococcygeal teratomas in infants and children; a report of 40 cases.Surg Gynecol Obstet. 1951; 92: 341
- Benign sacrococcygeal teratomas in infants and children: a 25 year review.Ann Surg. 1980; 191: 382
- Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973.J Pediatr Surg. 1974; 9: 389
- Unusual presentation of sacrococcygeal teratomas and associated malformations in children: clinical experience and review of the literature.Ann Ital Chir. 2013; 84: 333
- Pediatric intraocular immature teratoma associated with sacrococcygeal teratoma.Pediatr Dev Pathol. 2017; 20: 240
Article info
Publication history
Published online: December 18, 2017
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
