Adenocarcinoma associated with tail gut cyst

Saurabh Chhabra, Susannah Wise, Nell Maloney Patel, Craig Rezac, Elizabeth Poplin

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Primary adenocarcinomas of the presacral (retrorectal) space are rare. The diagnosis is usually delayed because of non-specific symptoms, and is made after a biopsy or surgery. These carcinomas arise from cystic lesions developing from remnants of the embryological postanal gut containing mucous-secreting epithelium, known as tail gut cysts. The potential for infection, perianal fistulas and most importantly, malignant change warrants an early complete surgical resection. From an oncologist's perspective, the management of these carcinomas has varied, and has included adjuvant chemotherapy and/or radiation therapy. We describe here a rare case of adenocarcinoma associated with a tail gut cyst that was discovered incidentally and resected by a posterior approach (Kraske procedure). The patient has had clinical and periodic radiologic surveillance without any evidence of cancer recurrence for over a year and a half.

Original languageEnglish (US)
Pages (from-to)97-100
Number of pages4
JournalJournal of Gastrointestinal Oncology
Volume4
Issue number1
DOIs
StatePublished - Jan 1 2013

All Science Journal Classification (ASJC) codes

  • Oncology
  • Gastroenterology

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