Presacral tumors. Analysis of 20 surgically treated patients

Canelles, Enrique; Roig, José V.; Cantos, Míriam; Armengol, Juan García; Barreiro, Erica; Villalba, Francisco L.; Ruiz, María Dolores Martínez; Pla, Vicente

doi:10.1016/s2173-5077(09)70156-5

Cited by 9 publications

(15 citation statements)

References 15 publications

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“…A wide range of pathological conditions can be seen in the presacral region [2]. Congenital masses such as teratomas, chordomas, dermoid or epidermoid tumors; tumors arising from neural elements such as schwannomas, neurofibromas and neuroblastomas; and mass lesions showing distinct features such as infiltrative rectum tumors, metastases, rhabdomyosarcomas and lymphangiomas can be seen in the presacral region [1,3,9,10,13].…”

Section: Introductionmentioning

confidence: 99%

“…Congenital masses such as teratomas, chordomas, dermoid or epidermoid tumors; tumors arising from neural elements such as schwannomas, neurofibromas and neuroblastomas; and mass lesions showing distinct features such as infiltrative rectum tumors, metastases, rhabdomyosarcomas and lymphangiomas can be seen in the presacral region [1,3,9,10,13]. Since the presacral region involves several different anatomical structures and related pathologies, it is a common point of interest of different disciplines and generally requires a multidisciplinary approach [2].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the amount of tumor mass removed during the surgical procedure is also an important factor that determines the prognosis [2,10,12]. Therefore, the selection of the most suitable surgical approach for the maximum extent of safe resection is of great importance.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, the selection of the most suitable surgical approach for the maximum extent of safe resection is of great importance. Three main surgical approaches are used; anterior approach, posterior approach and a combination of these two approaches [1,2,13]. There are remarkable advances in robotic surgery [6].…”

Section: Introductionmentioning

confidence: 99%

“…Also, laparoscopic procedures are used as a minimally invasive method for the lesions in the presacral region [4,14]. In the light of overall surgical experiences and technological advances, particularly two parameters play an important role in choosing the surgical approach: the size and location of the tumor [1,2,13]. The sacrum, which is the main anatomic landmark that forms a compact barrier for both parameters, is the basic anatomical point for the definition of each of the three surgical approaches.…”

Section: Introductionmentioning

confidence: 99%

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Sacrococcygeal sinus angle: as a new anatomic landmark for the posterior approach of presacral lesions

et al. 2013

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Purpose We have discussed the importance of sacrococcygeal sinus angle (SSA), which is a new anatomical landmark in the surgery of presacral lesions. Because of its anatomical structure, the sacrum limits the surgical exposure like a compact barrier for the posterior surgical approach. The main aim of this paper is to explain the anatomical description and clinical importance of SSA in the surgery of presacral lesions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Sacrococcygeal sinus angle: as a new anatomic landmark for the posterior approach of presacral lesions

et al. 2013

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Local Recurrence after Intended Curative Excision of Presacral Lesions: Causes and Preventions

Xian

Zhang

et al. 2011

World j. surg.

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Presacral lesions are likely to be multiple, lobulated, infected, ruptured, and adhesive to the sacrococcyx and rectum, which contribute to the high local recurrence rate. Preoperative CT/MRI/ERUS and careful intraoperative exploration are required to direct surgical treatment and to reduce local recurrence. Optimal selection of surgical approach also is very important to reduce local recurrence. Presacral lesions attached to the sacrococcyx or rectum require simultaneous partial resection of the sacrococcyx or rectum to reduce local recurrence.

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Mucinous tumor arising in a giant sacrococcygeal teratoma

Zhang

Xiao-long²,

Zeng³

et al. 2017

Medicine

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Rationale:Teratomas, which most frequently affect adult females, are the most common type of germ cell tumor, it always comprises derivatives of at least 2 germ layers. The most common site of primary teratomas is the ovary. Sacrococcygeal teratomas (SCTs), which are exceedingly rare in adults, are generally found in newborns or children.Patient concerns:A 39-year-old woman presented to our clinic with a 1-year history of gradually aggravated difficulty in micturition and defecation, and a tumor in her right buttock present since birth. Appropriate preoperative examinations showed a large (15.6 cm × 12.2 cm × 30.0 cm) multicystic SCT.Diagnoses:Histologic examination confirmed a mucinous tumor arising in a giant SCT.Interventions:Abdominoperineal rectal resection was performed.Outcomes:The patient recovered well and was discharged on day 33 of admission.Lessons:We report the first case of a mucinous tumor arising in an SCT, in which the teratoma presented mature tissue elements derived only from the endodermal germ layer (keratinous debris).

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Presacral tumors. Analysis of 20 surgically treated patients

Cited by 9 publications

References 15 publications

Sacrococcygeal sinus angle: as a new anatomic landmark for the posterior approach of presacral lesions

Sacrococcygeal sinus angle: as a new anatomic landmark for the posterior approach of presacral lesions

Local Recurrence after Intended Curative Excision of Presacral Lesions: Causes and Preventions

Mucinous tumor arising in a giant sacrococcygeal teratoma

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