症例 challenge · Imaging / Fetal medicine / Pediatric surgery · teaching

Sacrococcygeal Teratoma (Altman) Fetal MRI · case challenge

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← View the full flowchartBased on Altman classification

Case #1Imaging / Fetal medicine / Pediatric surgery

📋 Case data

Altman type + vascularity + cardiac failure signsAltman III–IV (abdominopelvic extension, compressing kidney/rectum)

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Step 1 / 1 · Altman type + vascularity + cardiac failure signs

Altman type + solid/vascularity + cardiac failure signs?

💡 The most common congenital tumor, 75% female, with malignant potential. Altman classification (anatomic): I mainly external + small presacral; II external + significant intrapelvic; III external + predominantly abdominopelvic; IV entirely intrapelvic/presacral, no external component. MRI assesses abdominopelvic extension (typing), cystic/solid nature, compression, excludes meningocele (especially cystic), T1 for hemorrhage.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.