Major Scope

  •  Colon and Rectal Surgery
  •  General Surgery
  •  Gynecologic Oncology
  •  Plastic Surgery
  •  Neurological Surgery
  •  Orthopaedic Surgery
  •  Orthopaedic Surgery of the Spine
  •  Neonatal Surgery
  •  Prenatal Surgery
  •  Trauma Surgery
  •  Surgical Intensivists, Specializing In Critical Care Patients
  •  Thoracic Surgery
  •  Congenital Cardiac Surgery
  •  Thoracic Surgery-Integrated
  •  Vascular Surgery

Abstract

Citation: Clin Surg. 2017;2(1):1496.Review Article | Open Access

Recent Advances in the Diagnosis and Treatment of Presacral Tumours

Konstantinos Paschos, Evelina Tsiomita, Maria Sachanidou and Anestis Chatzigeorgiadis

Department of General Surgery, General Hospital of Drama, Greece

*Correspondance to: Konstantinos Paschos 

 PDF  Full Text DOI: 10.25107/2474-1647.1496

Abstract

Presacral or retrorectal tumours (PST) s is rare lesions, which range from cysts (usually benign) to malignant masses, invading surrounding tissues in the pelvis. According to the tumour’s origin, characteristics and behavior, PSTs are classified as follows: congenital, neurogenic, osseous, miscellaneous, and inflammatory. They present variable signs and symptoms, a fact that may delay their diagnosis and/or cause an inappropriate treatment with bad prognosis. Nonetheless, modern imaging modalities, such as CT and MRI may discover the true nature of a lesion, as well as whether it infiltrates neighboring viscera. In that way, they substantially contribute to a definitive diagnosis and a correct preoperative planning. While neoadjuvant chemotherapy and postoperative radiotherapy may offer benefits in certain PSTs, surgical resection is the primary therapeutic management. The anterior, posterior and combined abdominosacral approach are applied, according to tumour location and its relation to adjacent structures. In general, clinicians should maintain high clinical suspicion of the disease to avoid delayed or false diagnosis. Multidisciplinary approach is crucial for a prompt and accurate treatment.

Keywords

Presacral; Retrorectal; Retroperitoneum; Rectum; Sacrum

Cite the article

Paschos K, Tsiomita E, Sachanidou M, Chatzigeorgiadis A. Recent Advances in the Diagnosis and Treatment of Presacral Tumours. Clin Surg. 2017; 2: 1496.

Journal Basic Info

  • Impact Factor: 2.395**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
  • NLM ID: 101702548

Search Our Journal

Journal Indexed In

Articles in PubMed

Mesh Sprayer Device with Liquefied Mesh Delivery System: Proposed Alternative for Currently Available Meshes in Hernia Repair and Supplement to Abdominal Closure
 PubMed  PMC  PDF  Full Text
Automated Sagittal Craniosynostosis Classification from CT Images Using Transfer Learning
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Discordance between Deep Remissions Assessed by MRI and Long-term Clinical Remission after Combined Therapy with Infliximab and Seton Placement for Perianal Fistulizing Crohn's Disease
 Abstract  PDF  Full Text
Comparing the Effect of Conventional TENS with Acupuncture TENS on Post-Operative Pain Relief
 Abstract  PDF  Full Text
View More...