Surgical resection of large sacrococcygeal teratoma in adults: Report of two cases

Introduction: Here, we present two case reports of adult female patients with the pathologic diagnosis of large sacrococcygeal teratoma. Case Series: In the first patient (aged 19 years), pelvic ultrasonographic examination showed a large (85.9×88.7 mm) multiloculated complex cyst posterior to the cervix. No evidence of recurrence was observed post-resection. The histological examination of the specimen showed mature cystic teratoma with no malignancy. The second patient (aged 16 years) was with a history of slow progressive enlargement of a nonulcerative mass in the gluteal region. Surgery was performed. On histopathological examination, the specimen showed chronically inflamed pilonidal sinus with mature cystic teratoma. Conclusion: These two cases suggest that we Taher Hawramy1, Awder Khazendar2, Seerwan Hasan3, Mohsin Ahmad4 Affiliations: 1MBChB, D.G.S., C.A.B.S., F.A.C.S., F.MAS, Surgical Emergency Hospital and Surgical Teaching Hospital, Sulaymaniyah city, Kurdistan region, Iraq; 2MBChB, FIBMS (Neurosurgery), Head of Neurosurgical Department, Shahid Dr. Aso Neurosurgical and Ophthalmological Hospital, and Surgical Emergency Hospital, Sulaymaniyah city, Kurdistan region, Iraq; 3MBChB, KBMS (Neurosurgery) Trainee, Shahid Dr. Aso Neurosurgical and Ophthalmological Hospital, and Surgical Emergency Hospital, Sulaymaniyah city, Kurdistan region, Iraq; 4MBChB, High diploma in general surgery, C.A.B.S. trainee, Surgical Emergency Hospital and Surgical Teaching Hospital, Sulaymaniyah city, Kurdistan region, Iraq. Corresponding Author: Seerwan O. Hasan, Iraq, Kurdistan region, Sulaymaniyah city, DIS. 308 Zmnako, St. 30, H.N 52, SUL 46001; E-mail: [email protected] Received: 08 September 2016 Accepted: 19 December 2016 Published: 06 February 2017 S RIES PEER REVIEWED | OPEN A CE S should put in mind the differential diagnosis of teratoma in sacrococcygeal region masses and it can be cured with surgery if the tumor mass was completely resected with the coccygectomy.