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Pre-sacral Tumors

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Pelvic Cancer Surgery

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Abstract

Presacral, or retrorectal, tumors are rare and often go unnoticed. A high index of suspicion and a certain degree of clinical acumen are required to identify these lesions. A general risk of malignant transformation necessitates a recommendation for surgical management. In those patients with solid or heterogeneous tumors, we highly recommended pre-operative percutaneous biopsy to rule out malignancy, guide neoadjuvant treatment, and plan for the extent of resection. Purely cystic lesions can most often proceed directly to resection. These tumors are best evaluated and treated by an experienced multidisciplinary team.

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References

  1. Jao SW, Beart Jr RW, Spencer RJ, Reiman HM, Ilstrup DM. Retrorectal tumors. Mayo Clinic experience, 1960–1979. Dis Colon Rectum. 1985;28(9):644–52.

    Article  CAS  PubMed  Google Scholar 

  2. Spencer RJ, Jackman RJ. Surgical management of precoccygeal cysts. Surg Gynecol Obstet. 1962;115:449–52.

    CAS  PubMed  Google Scholar 

  3. Whittaker LD, Pemberton JD. Tumors ventral to the sacrum. Ann Surg. 1938;107(1):96–106.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  4. Uhlig BE, Johnson RL. Presacral tumors and cysts in adults. Dis Colon Rectum. 1975;18(7):581–9.

    Article  CAS  PubMed  Google Scholar 

  5. Gunterberg B, Kewenter J, Petersen I, Stener B. Anorectal function after major resections of the sacrum with bilateral or unilateral sacrifice of sacral nerves. Br J Surg. 1976;63(7):546–54.

    Article  CAS  PubMed  Google Scholar 

  6. Bauer JJ, Gelernt IM, Salky B, Kreel I. Sexual dysfunction following proctocolectomy for benign disease of the colon and rectum. Ann Surg. 1983;197(3):363–7.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Bernstein WC, Bernstein EF. Sexual dysfunction following radical surgery for cancer of the rectum. Dis Colon Rectum. 1966;9(5):328–32.

    Article  CAS  PubMed  Google Scholar 

  8. Glasgow SC, Birnbaum EH, Lowney JK, Fleshman JW, Kodner IJ, Mutch DG, et al. Retrorectal tumors: a diagnostic and therapeutic challenge. Dis Colon Rectum. 2005;48(8):1581–7.

    Article  PubMed  Google Scholar 

  9. Hobson KG, Ghaemmaghami V, Roe JP, Goodnight JE, Khatri VP. Tumors of the retrorectal space. Dis Colon Rectum. 2005;48(10):1964–74.

    Article  PubMed  Google Scholar 

  10. Singer MA, Cintron JR, Martz JE, Schoetz DJ, Abcarian H. Retrorectal cyst: a rare tumor frequently misdiagnosed. J Am Coll Surg. 2003;196(6):880–6.

    Article  PubMed  Google Scholar 

  11. Yang BL, Gu YF, Shao WJ, Chen HJ, Sun GD, Jin HY, et al. Retrorectal tumors in adults: magnetic resonance imaging findings. World J Gastroenterol. 2010;16(46):5822–9.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Lee KS, Gower DJ, McWhorter JM, Albertson DA. The role of MR imaging in the diagnosis and treatment of anterior sacral meningocele. Report of two cases. J Neurosurg. 1988;69(4):628–31.

    Article  CAS  PubMed  Google Scholar 

  13. Pendlimari R, Leonard D, Dozois EJ. Rare malignant neuroendocrine transformation of a presacral teratoma in patient with Currarino syndrome. Int J Color Dis. 2010;25(11):1383–4. Case Reports [Letter].

    Article  Google Scholar 

  14. Leonard D, Pendlimari R, Larson DW, Dozois EJ. Currarino syndrome: typical images of a rare condition. Tech Coloproctol. 2010;14(3):289–90.

    Article  CAS  PubMed  Google Scholar 

  15. Lev-Chelouche D, Gutman M, Goldman G, Even-Sapir E, Meller I, Issakov J, et al. Presacral tumors: a practical classification and treatment of a unique and heterogeneous group of diseases. Surgery. 2003;133(5):473–8.

    Article  PubMed  Google Scholar 

  16. Macafee DA, Sagar PM, El-Khoury T, Hyland R. Retrorectal tumours: optimization of surgical approach and outcome. Colorectal Dis. 2012;14(11):1411–7.

    Article  CAS  PubMed  Google Scholar 

  17. Merchea A, Larson DW, Hubner M, Wenger DE, Rose PS, Dozois EJ. The value of preoperative biopsy in the management of solid presacral tumors. Dis Colon Rectum. 2013;56:756–60.

    Article  PubMed  Google Scholar 

  18. Waldhausen JA, Kolman JW, Vellios F, Battersby JS. Sacrococcygeal teratoma. Surgery. 1963;54:933–49.

    CAS  PubMed  Google Scholar 

  19. Sobrado CW, Mester M, Simonsen OS, Justo CR, deAbreu JN, Habr-Gama A. Retrorectal tumors complicating pregnancy. Report of two cases. Dis Colon Rectum. 1996;39(10):1176–9.

    Article  CAS  PubMed  Google Scholar 

  20. Dozois EJ, Wall JC, Spinner RJ, Jacofsky DJ, Yaszemski MJ, Sim FH, et al. Neurogenic tumors of the pelvis: clinicopathologic features and surgical outcomes using a multidisciplinary team. Ann Surg Oncol. 2009;16(4):1010–6.

    Article  PubMed  Google Scholar 

  21. Dozois EJ, Jacofsky DJ, Billings BJ, Privitera A, Cima RR, Rose PS, et al. Surgical approach and oncologic outcomes following multidisciplinary management of retrorectal sarcomas. Ann Surg Oncol. 2011;18(4):983–8.

    Article  PubMed  Google Scholar 

  22. Kraske P, Perry EG, Hinrichs B. A new translation of professor Dr P. Kraske’s Zur Exstirpation Hochsitzender Mastdarmkrebse. 1885. Aust N Z J Surg. 1989;59(5):421–4.

    CAS  PubMed  Google Scholar 

  23. Sullivan P, Merchea A, Leonard D, Hebert-Blouin M, Spinner R, Dozois E. Does neurological function improve following resection of benign pre-sacral neurogenic tumors? Dis Colon Rectum. 2012;55(5):e214. Abstract.

    Google Scholar 

  24. Burchell RC. Physiology of internal iliac artery ligation. J Obstet Gynaecol Br Common w. 1968;75(6):642–51.

    Article  CAS  Google Scholar 

  25. Tomacruz RS, Bristow RE, Montz FJ. Management of pelvic hemorrhage. Surg Clin North Am. 2001;81(4):925–48.

    Article  CAS  PubMed  Google Scholar 

  26. Kaiser TE, Pritchard DJ, Unni KK. Clinicopathologic study of sacrococcygeal chordoma. Cancer. 1984;53(11):2574–8.

    Article  CAS  PubMed  Google Scholar 

  27. Mathis KL, Dozois EJ, Grewal MS, Metzger P, Larson DW, Devine RM. Malignant risk and surgical outcomes of presacral tailgut cysts. Br J Surg. 2010;97(4):575–9.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Colon and Rectal Surgery, Mayo Clinic, Jacksonville, FL, USA

    Amit Merchea MD

  2. Department of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA

    Eric J. Dozois MD

Authors
  1. Amit Merchea MD
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  2. Eric J. Dozois MD
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Corresponding author

Correspondence to Eric J. Dozois MD .

Editor information

Editors and Affiliations

  1. Urology, University Hospital of North Norway, Tromsø, Norway

    Hitendra R.H. Patel

  2. University College London Hospital, London, United Kingdom

    Tim Mould

  3. Laparoscopic and Robotic Surgery, University of Rochester Medical Center, Rochester, New York, USA

    Jean V. Joseph

  4. Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Conor P. Delaney

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© 2015 Springer-Verlag London

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Merchea, A., Dozois, E.J. (2015). Pre-sacral Tumors. In: Patel, H., Mould, T., Joseph, J., Delaney, C. (eds) Pelvic Cancer Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4258-4_54

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  • DOI: https://doi.org/10.1007/978-1-4471-4258-4_54

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4257-7

  • Online ISBN: 978-1-4471-4258-4

  • eBook Packages: MedicineMedicine (R0)

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