Journal of Gastrointestinal Cancer

, Volume 49, Issue 3, pp 373–378 | Cite as

Diagnosis and Management of Presacral (Retrorectal) Tumors

  • Santosh ShenoyEmail author
Mgmt. of Complex Cases in GI Oncology

Case Vignette

A 58-year-old Afro-American male presented with unspecified lower back pain. General physical and abdominal, musculoskeletal, and neurological exam was normal.

Work-up included an MRI of the lumbar spine which identified an incidental mass in the retrorectal space. This mass showed hyperintensity on T2W images. Further imaging with a CT scan confirmed the 7-cm smooth walled mass in the retrorectal space abutting but without any involvement of the surrounding viscera. A complete colonoscopy and a cystoscopy did not reveal any involvement. A transperineal CT-guided biopsy was suggestive of a spindle cell tumor of neural origin based on positivity of S-100 and neuron-specific enolase (NSE) stains.

He underwent laparoscopy and resection of this mass. Intraoperatively, the mass was noted to be arising from the left-sided sacral nerves from S2 foramina. The nerve had to be sacrificed to excise the mass. Postoperative recovery was uneventful without any neurological deficits....


Author Contribution

Shenoy S collected the data and wrote the manuscript.

Compliance with Ethical Standards

Conflict of Interest

The author declares no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryKCVA and University of Missouri Kansas CityKansas CityUSA

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