Presacral dermoids

Lahey, Frank H.; Eckerson, Edwin B.

doi:10.1016/s0002-9610(34)90874-6

Cited by 11 publications

(1 citation statement)

References 4 publications

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“…According to Ewing (1928) the majority of tumors which occur are more complex and involve more than one of the embryonal remnants. T h e sacrococcygeal teratoid tumors are a heterogeneous group in which the three germ layers are represented (Lahey and Eckersoh, 1934). These tumors are congenital, solid or cystic, lying at the lower end of the spinal column in front of the sacrocwcygeal spine.…”

Section: Microscopic Examinationmentioning

confidence: 99%

Presacral tumors: Case, report, review of the literature

Wagner

Zastrow²,

Reasa

1995

Clinical Anatomy

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A case report involving a 42-year-old female is presented. The symptoms and objective physical findings manifest a diagnostic problem. The anatomical site of the tumor depends on the consideration of the numerous possible etiological factors, and one of which is the embryologic knowledge of the region involved. The clinical, pathological, and embryologic features of a case of presacral tumor is presented.

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Section: Microscopic Examinationmentioning

confidence: 99%

Presacral tumors: Case, report, review of the literature

Wagner

Zastrow²,

Reasa

1995

Clinical Anatomy

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Epidermoid cysts in the region of the rectum and anus. A report of four cases

Bonser¹,

Raper²,

Shucksmith³

1950

Journal of British Surgery

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the greater curvature of the stomach, but there were no secondary deposits, and its presence does not appear to have contributed to his death. A large left-sided hydronephrosis and a prostate the seat of myo-adenomatous enlargement were present. The medical officer who performed the autopsy was apparently unaware of the congenital abnormalities and unfortunately the opportunity was not taken of obtaining a bony specimen, nor of dissecting the nerves and muscles. SUMMARY A man aged 61 was admitted to hospital suffering from a cerebral thrombosis. X-ray examination revealed absence of the sacrum below its second segment, and of the coccyx. There were gross deficiency of the musculature below the knees, life-long urinary incontinence, a lax anal sphincter, and hydronephrosis.Congenital absence of the caudal end of the spine is rare, only 44 other cases having been reported during the past century.In addition to the features described in this case report-namely, extreme wasting of all muscles below the knees, urinary incontinence, and a lax anal sphincter-which are typical of the condition, it is commonly associated with flattened buttocks, dislocation of the hip, talipes, and abnormalities of the pelvic viscera. T h e muscular wasting can be correlated with interference with or absence of the appropriate spinal nerve and vertebral segment. The previous literature is reviewed and a classification is presented in the table. The aetiology is discussed in terms of failure of an organizer or suppression of an evocator. Comparisons are drawn with similar conditions occurring hereditarily, sporadically, and experimentally in animals. The suggestion is made that the spine and pelvis should be X-rayed in all cases of congenital abnormality of the genito-urinary apparatus, rectum, or anus.

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