Retrorectal cyst hamartoma (tailgut cyst) with malignant transformation

Tampi, Chandralekha; Lotwala, Vikram; Lakdawala, Muffazal; Coelho, Kiran

doi:10.1016/j.ygyno.2007.01.008

Cited by 34 publications

(24 citation statements)

References 9 publications

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“…There was no evidence of bony involvement or adjacent invasion. developmental cysts [1][2][3]. Congenital developmental cysts, according to their origin and histologic features, include dermoid cysts, epidermoid cysts, enteric cysts and neurenteric cysts [4].…”

Section: Discussionmentioning

confidence: 99%

“…When a patient comes to the hospital presenting with a procedural history of multiple drainage for recurrent pilonidal abscess, perianal abscess or anal fistula, tailgut cyst should be suspected [7]. Tailgut cyst can affect a person at any age but predominantly affects middle-aged women [1][2][3][4][5][6]. The differential diagnosis of tailgut cyst includes cystic sacrococcygeal teratoma, epidermal cyst, dermoid cyst, neuroenteric cyst, rectal duplication, anal gland cyst, neuroblastoma, necrotic rectal leiomyosarcoma, extraperitoneal adenomucinosis, anterior sacral meningocele, necrotic sacral chordoma, cystic lymphangioma, pyogenic abscess and adnexal tumor [8].…”

Section: Discussionmentioning

confidence: 99%

“…Tailgut cysts are usually benign and malignant transformation is rare. Cases of malignancies include adenocarcinoma, carcinoid tumors, neuroendocrine carcinoma, endometrioid carcinoma, adenosquamous carcinoma, squamous cell carcinoma and sarcoma have been reported to be associated with tailgut cyst and adenocarcinoma, and carcinoid tumors are the most common malignant transformation pattern of tailgut cysts [3,8,9,12]. In adenocarcinoma arising in a tailgut cyst, elevation of a tumor marker such as CEA and CA19-9 is occasionally observed; in such cases, the tumor marker level can then be used to monitor their progression and recurrence [6,12,13].…”

Section: Discussionmentioning

confidence: 99%

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Double tailgut cysts (presacral and precoccygeal hamartomas) with CA 19-9 elevation

Kim¹,

Han²,

Jung³

et al. 2013

CRCM

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Tailgut cyst, also called retrorectal hamartoma, is a rare congenital lesion and is usually located anterior to the sacrum and posterior to the rectum. We report a case of double tailgut cyst (presacral and precoccygeal hamartoma). A 62-yearold female visited the hospital complaining of anal pain and pressure in the perianal area for one month. Digital rectal examination revealed a round mass with hard consistency in the lateral and posterior part of rectum 5 cm from the anal verge. Pelvic magnetic resonance imaging showed two cystic and solid presacral masses (lateral and posterior part of rectum) compressing the rectum. The patient underwent surgical resection for pathologic diagnosis. At operation, two masses were located in the left presacral space without invasion to adjacent organs and soft tissue. Pathologic examination revealed double tailgut cysts without malignant transformation. A differential diagnosis of perirectal cystic hamartoma includes epidermal cysts, cystic teratomas, dermoid cysts, anal gland cysts, sarcoma and rectal duplications. Regional inflammatory process frequently complicates this lesion and perirectal fistula can develop. Tailgut cyst also has a malignancy potential, with development of adenocarcinomas. To establish a definite diagnosis and prevent complication, complete surgical resection is recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Double tailgut cysts (presacral and precoccygeal hamartomas) with CA 19-9 elevation

Kim¹,

Han²,

Jung³

et al. 2013

CRCM

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“…Malignant change as a rare complication has been described occasionally. 1,3,12 In conclusion, RCHs are rare conditions, which diagnosis is often delayed, partly due to unfamiliarity with this entity and also because of its non-specific clinical manifestations. Due to its potential of infection, fistulas and malignancy, early surgical excision is indicated when suspected (Figure 2).…”

Section: -14mentioning

confidence: 99%

Case Series – Retrorectal Cystic Hamartomas

Teixeira¹,

Garisto²,

Ribeiro³

et al. 2017

IJRRT

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Case #5 Presentation AbstractThe retrorectal (presacral) space is a not very common site for neoplastic tumors. Retrorectal cystic hamartomas (RCHs) or tailgut cysts (TGCs) are rare congenital lesions, typically presented as presacral masses. Due to its potential of infection, fistulas and malignancy, early diagnosis and surgical treatment are mandatory. In this article, it is described the clinical, radiological and pathological features of five cases. digital rectal examination, tender, firm, well-defined, extrinsic mass on the posterior wall, with smooth mobile rectal mucosa over it. Keywords

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“…L'HKRR est une tumeur bénigne dont le potentiel de malignité est faible mais présent. On retrouve 13 cas de dégénérescence décrits dans la littérature [3,[6][7][8][9][10][11][12][13][14][15][16][17]. En raison de ce risque de dégénérescence, ces tumeurs doivent être réséquées dans leur totalité.…”

Section: Physiopathologieunclassified