Preoperative assessment of retrorectal tumours

Sagar, Alex; Koshy, A; Hyland, Rachel E; Rotimi, Olorunda; Sagar, P. M.

doi:10.1002/bjs.9413

Cited by 31 publications

(43 citation statements)

References 17 publications

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“…According to this, tumours originated from this space constitute a varied group [2,5] [2]. Most of the lesions are congenital, benign and more common in women [4,5]. Classification according to Lovelady and Docketdy includes [2,5,6,8,9].…”

Section: Discussionmentioning

confidence: 99%

“…According to Jao et al [1] these tumours account for 1 in 40,000 hospital admissions [1][2][3]. Some authors have reported a rise of female gender cases (ratio 3:1) with a peak at middle age [4][5][6][7]. In addition, malignant processes seem to be more frequent in women than in men [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Some authors have reported a rise of female gender cases (ratio 3:1) with a peak at middle age [4][5][6][7]. In addition, malignant processes seem to be more frequent in women than in men [3,4]. Moreover, malignancy is also associated to solid aspect and paediatric population.…”

Section: Introductionmentioning

confidence: 99%

“…However, there are a small percentage of malignant tumours that make surgery highly recommended when conditions of the patient are optimal. Furthermore, surgery provides not only treatment but also definitive histopathological diagnosis [4,[7][8][9][10][11]. Two essential tools are magnetic resonance imagining (MRI) and rigid rectoscopy, both of them allow to plan an adequate surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Tumours of Retrorectal Space: A Rare Entity Scarcely Known by General Surgeons

Bravo¹,

Ovejero-Merino²,

Alonso³

2017

J Univer Surg

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tumours of Retrorectal Space: A Rare Entity Scarcely Known by General Surgeons

Bravo¹,

Ovejero-Merino²,

Alonso³

2017

J Univer Surg

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“…MRI is more valuable than CT because it is useful in assessing the planes of resection and spatial relationship to surrounding structures and also in determining the most convenient management and imaging procedures for each patient. 9,10,[21][22][23][24] In our series, most of our patients had undergone CT in other clinics due to various reasons. Prior to surgery, the patients without MR contraindications were evaluated with MRI, both for diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%

Retrorectal Tumors in Adults: A 10-Year Retrospective Study

Oğuz

Böyük

Türkoğlu

et al. 2015

International Surgery

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Due to the rarity and large diversity of the primary retrorectal tumors (RTs), the diagnoses are often difficult and they can be misdiagnosed. We present our experience in light of scarce information available on the clinical manifestations of RTs. The retrospective study included 17 patients diagnosed as RTs between January 2004 and January 2014. Demographic characteristics, length of symptoms, clinical findings, diagnostic methods, evaluations on the treatment procedures and postoperative periods, pathology, complications, and length of hospital stay were recorded. A mean of 1.7 of patients were diagnosed with RTs annually in our hospital. Patients comprised 12 females and 5 males. Pain and discomfort were the most common symptoms at presentation. All the lesions were evaluated by using magnetic resonance imaging (MRI) and computed tomography (CT), and all the patients were treated operatively. Based on the preoperative MRI or CT findings, an anterior approach was performed in 7 patients, a posterior approach in 6 patients, and combined approach in 4 patients. Mean size of tumors was 9.2 6 4.3 cm. Epidermoid cyst (n ¼ 8) was the most common tumor. Except for 1 case of liposarcoma, 16 tumors were confirmed to be of benign nature in histologic examination. Mean length of hospital stay 12.4 6 6.8 days. Retrorectal tumors are heterogeneous and lead to diagnostic difficulties. A high index of clinical suspicion is needed for diagnosis. Preoperative imaging may be helpful in determining the course of treatment. Total excision of a retrorectal tumor may alleviate pressure symptoms and confirm the diagnosis.

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