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Malignant transformation in sacrococcygeal teratoma and in presacral teratoma associated with Currarino syndrome: a comparative study

  • M. Dirix
  • , T. van Becelaere
  • , L. Berkenbosch
  • , R. van Baren
  • , R.M. Wijnen
  • , M.H. Wijnen
  • , D.C. van der Zee
  • , H.A. Heij
  • , J.P. Derikx
  • , L.W. van Ernest van Heurn*
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND/PURPOSE: The risk of malignant transformation of sacrococcygeal teratoma (SCT) and of presacral teratoma in Currarino syndrome (CS) may differ despite the similar position and appearance. METHODS: Malignant transformation and teratoma recurrence were assessed in a national retrospective comparative analysis of 205 SCT and 16 CS patients treated in one of the six pediatric surgical centers in the Netherlands between January 1981 and December 2010. RESULTS: The malignancy free survival of patients with SCT was lower than for patients with a presacral teratoma associated with CS (80% and 58% after one and two years in SCT versus 100% after two years in CS, p=0.017) CONCLUSIONS: In SCT, malignancy and recurrence risk are high. Therefore, early and complete resection is mandatory. Our data show that the risk of malignant transformation of a presacral teratoma in CS is small.
Original languageEnglish
Pages (from-to)462-464
Number of pages3
JournalJournal of Pediatric Surgery
Volume50
Issue number3
DOIs
Publication statusPublished - 1 Jan 2015

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