Sacrococcygeal teratoma history and symptoms

The hallmark of sacrococcygeal teratoma is a protruding mass at the sacrococcygeal region. It is important to obtain the history about the onset, and the progression of the symptoms. Most common symptoms of sacrococcygeal teratoma are due to compression caused by the large tumor mass. Maternal symptoms can include hypertension, vomiting, and peripheral edema. Adults can present with lower back pain, tingling and numbness of the lower limbs, weakness, and constipation.

Symptoms of sacrococcygeal teratoma depend on the size of the tumor. ^[1]

• Small sacrococcygeal teratomas are asymptomatic.
• Mass over the sacro–coccygeal region.^[2]
• Dystocia^[3]
• Maternal symptoms may include:
  • Hypertension^[4]
  • Peripheral edema
  • Vomiting

• Purulent vaginal discharge^[5]
• Recurrent vaginal mass
• Abdominal distension^[6]

• Lower back pain^[7]
• Weakness
• Constipation
• Increased frequency of urine and stool
• Tingling and numbness in the lower limbs

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