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Long-term functional sequelae of sacrococcygeal teratoma: a national study in The Netherlands.
- Source :
-
Journal of pediatric surgery [J Pediatr Surg] 2007 Jun; Vol. 42 (6), pp. 1122-6. - Publication Year :
- 2007
-
Abstract
- Background: Long-term functional sequelae after resection of sacrococcygeal teratoma (SCT) are relatively common. This study determines the incidence of these sequelae associated clinical variables and its impact on quality of life (QoL).<br />Patients and Methods: Patients with SCT treated from 1980 to 2003 at the pediatric surgical centers in The Netherlands aged more than 3 years received age-specific questionnaires, which assessed parameters reflecting bowel function (involuntary bowel movements, soiling, constipation), urinary incontinence, subjective aspect of the scar, and QoL. These parameters were correlated with clinical variables, which were extracted from the medical records. Risk factors were identified using univariate analysis.<br />Results: Of the 99 posted questionnaires, 79 (80%) were completed. The median age of the patients was 9.7 years (range, 3.2-22.6 years). There were 46% who reported impaired bowel function and/or urinary incontinence (9% involuntary bowel movements, 13% soiling, 17% constipation), and 31% urinary incontinence. In 40%, the scar was cosmetically unacceptable. Age at completion of the questionnaire, Altman classification, sex, and histopathology were not risk factors for any long-term sequelae. Size of the tumor (>500 cm3) was a significant risk factor for cosmetically unacceptable scar (odds ration [OR], 4.73; confidence limit [CL], 1.21-18.47; P = .026). Long-term sequelae were correlated with diminished QoL.<br />Conclusion: A large proportion of the patients with SCT have problems with defecation, urinary incontinence, or a cosmetically unacceptable scar that affects QoL. Patients who are at higher risk for the development of long-term sequelae cannot be clearly assessed using clinical variables.
- Subjects :
- Adolescent
Adult
Child
Child, Preschool
Cicatrix epidemiology
Cicatrix etiology
Cicatrix psychology
Constipation epidemiology
Constipation etiology
Esthetics
Fecal Incontinence epidemiology
Fecal Incontinence etiology
Fecal Incontinence psychology
Female
Humans
Incidence
Male
Netherlands epidemiology
Pelvic Neoplasms congenital
Pelvic Neoplasms epidemiology
Postoperative Complications etiology
Quality of Life
Retrospective Studies
Risk Factors
Sacrococcygeal Region
Soft Tissue Neoplasms congenital
Soft Tissue Neoplasms epidemiology
Surveys and Questionnaires
Survivors
Teratoma congenital
Teratoma epidemiology
Treatment Outcome
Urinary Incontinence epidemiology
Urinary Incontinence etiology
Urinary Incontinence psychology
Pelvic Neoplasms surgery
Postoperative Complications epidemiology
Soft Tissue Neoplasms surgery
Teratoma surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1531-5037
- Volume :
- 42
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of pediatric surgery
- Publication Type :
- Academic Journal
- Accession number :
- 17560233
- Full Text :
- https://doi.org/10.1016/j.jpedsurg.2007.01.050