Tumores presacros. Análisis de nuestra experiencia en 20 casos tratados quirúrgicamente

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

doi:10.1016/j.ciresp.2009.01.007

Cited by 14 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The main surgical approach generally includes the transabdominal, transsacral, or transperineum approach, or a combination thereof. [ 24 – 27 ] In our case, the abdominoperineal approach was adopted, owing to a suspicion that the tumor had invaded the rectum and due to its large size. On laparotomy, there was no evidence of peritoneal dissemination, although the tumor was found to have invaded the rectum.…”

Section: Discussionmentioning

confidence: 99%

Mucinous tumor arising in a giant sacrococcygeal teratoma

Zhang

Xiao-long²,

Zeng³

et al. 2017

Medicine

View full text Add to dashboard Cite

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).

show abstract

Section: Discussionmentioning

confidence: 99%

Mucinous tumor arising in a giant sacrococcygeal teratoma

Zhang

Xiao-long²,

Zeng³

et al. 2017

Medicine

View full text Add to dashboard Cite

show abstract

“…In addition, the most frequent symptom of MCT is lower abdominal pain (20), while the most common symptoms of patients with presacral masses are suppuration and sacrococcygeal pain (21). The current patient reported symptoms similar to those caused by a presacral mass, an additional contribution to the misdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

Identification of a mature cystic teratoma mimicking a presacral tumor by transsacral surgery in a young female: A case report

Yang

Wang

et al. 2013

Oncology Letters

View full text Add to dashboard Cite

The current case report presents an account of a unique surgical procedure performed to remove an extremely rare occurrence of a transsacral abdominal mass from a 24-year-old female. The patient presented with subtle sacrococcygeal pain for two months and a presacral abdominal mass derived from the right ovary. The mass was misdiagnosed as a presacral tumor based on the results of magnetic resonance imaging (MRI) performed prior to the surgery. The patient also exhibited the symptoms commonly caused by a presacral mass, however, during the surgery, the mass was not initially located under the sacrum. An ultrasound examination and an analysis of an intraoperative frozen section indicated that the mass was a mature cystic teratoma (MCT) of the ovary, located in the peritoneal cavity between the rectum and uterus. The mass was successfully resected and removed from the affected ovary through the abdominal cavity via the sacral region. A pathological examination of the tumor section confirmed a diagnosis of a MCT of the ovary.

show abstract

“…Other symptoms may include changes in bowel habits, faecal or urinary incontinence, difficulty with urination, sexual dysfunction and neurological symptoms in the lower back and perineum. It is important not to forget retrorectal lesions in the case of histories of multiple procedures that look like fistulae, perineal abscesses or recurrent pilonidal cysts [1,5].…”

Section: Discussionmentioning

confidence: 99%

“…In adults, the most common symptom is pain, especially in malignant lesions [1,3,4]. Other symptoms may include changes in bowel habits, faecal or urinary (6) Cystadenoma of the peritoneum (1) Anorectal abscess (3) Developing cyst (1) Nephro urological disorder (2) Cyst hydatid (1) Atypical pilonidal sinus (1) Teratoma (1) Biopsy Not performed (12) Ganglioneuroma (1) Positive and diagnostic (14) Malignant (20) Chordomas (9) Non diagnostic (4) Metastases (6) Surgery Posterior approach (10) Lymphomas (2) Perineal approach (5) Ewing tumors (2) Transabdominal approach (2) Liposarcoma (1) Combined approach (2) Laparoscopic approach (1) Nonoperative treatment (10) Tumours of the retrorectal space A. Boscà et al…”

Section: Discussionmentioning

confidence: 99%