5
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Case report: Resection of a massive primary sacrococcygeal mature teratoma in an adult using 3-dimensional reconstruction and mixed reality technology

      case-report

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          Teratomas are rare neoplasms that arise from pluripotent germ cells. Sacrococcygeal teratomas are often diagnosed in infants but are rare in adults; a mature teratoma can contain hair, teeth, bony tissue, and other mature tissue types. Herein, we report for the first time a patient with a teratoma containing intact bones that formed a pseudoarthrosis.

          Case report

          A 49-year-old woman was admitted to hospital after a massive life-long sciatic tumor had begun to grow larger over the past year. A 16 cm × 25 cm solid mass with a clear boundary was palpable in the sacrococcygeal region. Radiography, computed tomography, and magnetic resonance imaging indicated a sacrococcygeal teratoma, although blood alpha-fetoprotein levels were normal. The teratoma was completely excised using 3-dimensional reconstruction mixed reality (MR) technology with no notable complications. Postoperative pathological examination of the excised lesion confirmed a mature teratoma. Interestingly, two intact irregular bones that formed a pseudoarthrosis were isolated; one was 11 cm and the other 6 cm. The patient is currently healthy and has experienced no recurrences.

          Conclusion

          Sacrococcygeal teratomas are rare, especially in adults, and often comprised lots of components, such as fat, bony tissue. However, it's first reported that formation of pseudoarthrosis in this case so far. It is difficult for surgeons to achieve complete excision without complications owing to the complex anatomic structure of the sacrum. The 3-dimensional reconstruction and mixed reality (MR) technology based on computed tomography can provide spatial visualization, which allows surgeons to examine the teratoma at different angles preoperatively. Combining 3-dimensional reconstruction and mixed reality (MR) technology in this case facilitated complete resection and prevented recurrence.

          Related collections

          Most cited references21

          • Record: found
          • Abstract: found
          • Article: not found

          The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines

          The SCARE Guidelines were first published in 2016 and were last updated in 2018. They provide a structure for reporting surgical case reports and are used and endorsed by authors, journal editors and reviewers, in order to increase robustness and transparency in reporting surgical cases. They must be kept up to date in order to drive forwards reporting quality. As such, we have updated these guidelines via a DELPHI consensus exercise.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Sacrococcygeal teratoma: American Academy of Pediatrics Surgical Section Survey-1973.

              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Presurgical and Intraoperative Augmented Reality in Neuro-oncologic Surgery: Clinical Experiences and Limitations

                Bookmark

                Author and article information

                Contributors
                Journal
                Front Surg
                Front Surg
                Front. Surg.
                Frontiers in Surgery
                Frontiers Media S.A.
                2296-875X
                22 September 2022
                2022
                : 9
                : 948388
                Affiliations
                [ 1 ]Department of Bone and Soft Tissue Oncology, Department of Surgery, Shengjing Hospital, China Medical University , ShenYang, China
                [ 2 ]Department of Gynecology and Obstetrics, Shengjing Hospital, China Medical University , ShenYang, China
                Author notes

                Edited by: Matteo De Pastena, University of Verona, Italy

                Reviewed by: Panteleimon Vassiliu, University General Hospital Attikon, Greece Chenyu Sun, AMITA Health Saint Joseph Hospital Chicago, United States Rongzhi Wang, University of Alabama at Birmingham, United States

                [* ] Correspondence: Guanning Shang cmushanggn@ 123456163.com

                Specialty Section: This article was submitted to Surgical Oncology, a section of the journal Frontiers in Surgery

                Article
                10.3389/fsurg.2022.948388
                9632992
                36338636
                3393f02c-b457-4acd-b38f-a045530c290f
                © 2022 Zhang, Ji, Liu, Li, Chen, Li and Shang.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 19 May 2022
                : 16 August 2022
                Page count
                Figures: 4, Tables: 0, Equations: 0, References: 21, Pages: 0, Words: 0
                Funding
                Funded by: 345 Talent Project of Shengjing Hospital, doi 10.13039/501100015226;
                Award ID: M0944 and M0744
                Funded by: China Postdoctoral Science Foundation, doi 10.13039/501100002858;
                Award ID: 2021M693912
                Categories
                Surgery
                Case Report

                mixed reality,pseudoarthrosis,teratoma,sacrococcygeal,three-dimensional reconstruction (3d reconstruction),case report

                Comments

                Comment on this article