A Tailgut Cyst—Cystic Mass Diagnosed by Prenatal Ultrasonography

Chung, Ki Yeong; Lee, Na Mi; Choi, Eung Sang; Yoo, Byung Hoon; Kim, Gwang Jun; Jae, Seong; Kim, Gi Hyeon; Kim, Mi Kyung

doi:10.1055/s-0032-1329681

Cited by 8 publications

(3 citation statements)

References 17 publications

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“…The eligible papers and Table give a good impression of the typical case. The relative risk for malignant transformation was raised in the case of finding nodular thickening of the cyst wall on radiology ( P = 0.0023).…”

Section: Resultsmentioning

confidence: 99%

Malignant transformation of tailgut cysts is significantly higher than previously reported: systematic review of cases in the literature

et al. 2019

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Aim The best treatment for tailgut cysts has not been firmly established. We report a systematic review of the cases in the available literature in order to provide an evidence base for treatment. Method A systematic search of articles wholly or partly in English was made of PubMed, Embase and Google Scholar; additional studies were discovered by searching reference lists and contacting authors directly. Search terms ‘tailgut cyst’, ‘tail gut cyst’, ‘retrorectal hamartoma’ and ‘retrorectal tumour’ were used for case reports or case series; no publication date restrictions were imposed. Only studies with histological confirmation of diagnosis and reporting the age and gender of patients were included. Papers were excluded by consensus between the first two authors. Results A total of 196 individual cases were analysed in detail including 51 cases of neoplasia. The overall rate of neoplastic transformation was 26.6%. Although the male:female cyst incidence ratio was 1:4, men over 18 had a significantly greater relative risk of neoplasm at 1.94 (P = 0.0055). Radiological evidence of nodular thickening of the cyst wall significantly increased the relative risk of the presence of cancer (P = 0.0023). Conclusions Current orthodoxy that these are not dangerous embryological remnants is unfounded and may be false. The available data suggest the risk of malignant transformation is high and will apply to any residual tissue after excision. The same rationale behind total mesorectal excision in rectal cancer applies to tailgut cysts. Consequently they should be resected with similar oncological margins.

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Section: Resultsmentioning

confidence: 99%

Malignant transformation of tailgut cysts is significantly higher than previously reported: systematic review of cases in the literature

et al. 2019

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“…The diagnosis can take place as early as a finding on prenatal-screening ultrasonography or as late as a finding in autopsy [9] .…”

Section: Discussionmentioning

confidence: 99%

Tailgut cyst: A case report and literature review

Haydar¹,

Griepentrog²

2015

International Journal of Surgery Case Reports

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“…[ 3 4 5 6 ] Although the preoperative clinical diagnosis is difficult, modern methods of imaging in suspected cases will help to clinch the diagnosis and planning for definitive surgical management which will further avoid complications in future. [ 7 8 9 ] There is always a risk of malignancy in such a mass as a result of late recognition and inadequate surgical excision. [ 10 ] This case report of tailgut cyst in an 18-year female may provide some literature review to clarify a case of a rare tumor and its surgical approach.…”

Section: Introductionmentioning

confidence: 99%

Presacral Tailgut Cyst

Haval,

Dwivedi,

Nichkaode

2024

Annals of African Medicine

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A tailgut cyst is a rare benign polycystic congenital lesion in presacral or retrorectal space, when there is failure of involution of tailgut. Clinical presentation may be with or without symptoms of different types related to obstruction, infection, or rarely malignancy. Symptoms may be misleading and atypical, so understanding of characteristics of tailgut cysts is important for precise and early diagnosis to be made for proper treatment and to avoid complications and malignant transformation. Magnetic resonance imaging pelvis was used as diagnostic imaging investigation, but the final confirmation was only done by histopathology. Definitive treatment is surgery, though various surgical approaches are described, surgery is tailored which will suit the individual patient’s anatomy and suspected diagnosis of mass. This case review used PubMed and Web of Science databases to search for the studies. We found around 176 articles and selected 77 articles in our survey, with 8 reviews, 31 case reports, and 31 case reports and reviews.

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A Tailgut Cyst—Cystic Mass Diagnosed by Prenatal Ultrasonography

Cited by 8 publications

References 17 publications

Malignant transformation of tailgut cysts is significantly higher than previously reported: systematic review of cases in the literature

Malignant transformation of tailgut cysts is significantly higher than previously reported: systematic review of cases in the literature

Tailgut cyst: A case report and literature review

Presacral Tailgut Cyst

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