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Sacrococcygeal teratoma classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mirdula Sharma, MBBS [2]

Overview

Sacrococcygeal teratoma is classified into four different categories according to the American academy of pediatrics surgery classification based upon the anatomical location of the tumor. Sub-types of sacrococcygeal teratoma have different staging systems based on the size and growth of the tumor, lymph node involvement, and the presence of metastasis.

Classification

Classification Based Upon Anatomical Location

American academy of pediatrics surgery section system classifies sacrococcygeal teratoma depending on the anatomical location of the tumor. [1][2]

Stage Features

Type I

  • Predominantly external; with minimal pelvic involvement

Type II

  • Predominantly external; with significant intrapelvic growth giving “hour-glass” appearance

Type III

Type IV

  • Entirely pre-sacral; without external growth

Classification Based Upon Pathology

  • Benign : Mature[1]
  • Malignant : Immature

References

  1. 1.0 1.1 Puri P, Höllwarth ME. Pediatric Surgery, Diagnosis and Management. Springer Science & Business Media; 2009.
  2. Myers LB, Bulich LA. Anesthesia for Fetal Intervention and Surgery. PMPH-USA; 2005.

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