Clin Colon Rectal Surg 2011; 24(3): 149-160
DOI: 10.1055/s-0031-1285999
© Thieme Medical Publishers

Retrorectal Tumors

Jeffrey A. Neale1 , 2
  • 1Department of Colon and Rectal Surgery, Henry Ford Hospital, Detroit, Michigan
  • 2The Colorectal Institute, Fort Myers, Florida
Further Information

Publication History

Publication Date:
26 August 2011 (online)

ABSTRACT

Tumors that arise in the retrorectal (presacral) space are uncommon lesions that present with nonspecific signs and symptoms, which lead to difficult diagnoses. For complete evaluation of the lesion, cross-sectional imaging is required to determine the extent of resection and the appropriate surgical approach. Surgical removal leads to favorable outcomes for patients with benign purely cystic retrorectal tumors. Preoperative tissue diagnosis with transperineal and transsacral biopsies of solid or heterogeneous cystic lesions, are essential to determine the necessity of neoadjuvant therapy, which may decrease local recurrence after surgery and avoid an unnecessary delay in systemic therapy.

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Jeffrey A NealeM.D. 

The Colorectal Institute

2675 Winkler Ave., Ste. 130, Fort Myers FL 33901

Email: JeffNeale@hotmail.com

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