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  • Title: Adenocarcinoma within a paracoccygeal teratoma in an adult: report of a case.
    Author: Tulchinksy H, Tovar A, Gutman H.
    Journal: Surg Today; 2005; 35(3):259-62. PubMed ID: 15772802.
    Abstract:
    We report an unusual case of adenocarcinomatous transformation of a paracoccygeal teratoma (PCT) in a 44-year-old woman. The patient was referred to us for surgical treatment of a growing paracoccygeal mass. The findings of a magnetic resonance imaging scan were compatible with soft tissue malignancy. Using the posterior approach, we performed complete surgical removal with coccygectomy. Histological examination of the cystic mass revealed a mature teratoma containing primary adenocarcinoma. The patient has been followed up for 7 years and is free of disease. Because prognosis depends on complete excision, we emphasize the importance of clear-margin surgery, including en bloc removal of the coccyx.
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