Presacral tumor, experience of two cases in Mexico and review of the literature
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240546Keywords:
Schwannoma, Hamartoma, Surgery, Pathology, TechniqueAbstract
Presacral or retrorectal tumors are rare, they can present different histologic strains and they can also be benign or malignant. These tumors represent a challenge for the surgeon due to their location in the presacral space and due to the low incidence and written information. Various surgical approaches have been described. We present the case of two patients who were diagnosed with presacral tumors (hamartoma and schwannoma) and who underwent a posterior approach for the removal of the tumors. There are several approaches for the treatment of presacral tumors, but in our experience, the posterior approach has shown adequate results without recurrence in the medium-term follow-up. The purpose of the manuscript is to document our experience in the management of two patients.
References
Li Z, Lu M. Presacral Tumor: Insights From a Decade's Experience of This Rare and Diverse Disease. Front Oncol. 2021;16:639028.
Dziki Ł, Włodarczyk M, Sobolewska-Włodarczyk A, Saliński A, Salińska M, Tchórzewski M, et al. Presacral tumors: diagnosis and treatment - a challenge for a surgeon. Arch Med Sci. 2019;15:722-9.
Li GD, Chen K, Fu D, Ma XJ, Sun MX, Sun W, et al. Surgical strategy for presacral tumors: analysis of 33 cases. Chin Med J Engl. 2011;124:4086-91.
Zhang D, Sun Y, Lian L, Hu B, Zhang H, Zou Q, et al. Long-term surgical outcomes after resection of presacral tumours and risk factors associated with recurrence. Colorectal Dis. 2021;23:2301-10.
Hosseini-Nik H, Hosseinzadeh K, Bhayana R, Jhaveri KS. MR imaging of the retrorectal- presacral tumors: an algorithmic approach. Abdom Imaging. 2015;40:2630-44.
Uhlig BE, Johnson RL. Presacral tumors and cysts in adults. Dis Colon Rectum. 1975;581-9.
Gutman M, Goldman G. Presacral tumors: a practical classification and treatment of a unique and heterogeneous group of diseases. Surgery. 2003;133:78.
Testini M, Catalano G, Macarini L, Paccione F. Diagnosis and surgical treatment of retroperitoneal tumors. Int Surg. 1996;81:88-93.
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;18:983-8.
Lcv-Chclouche 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;133:473-8.
