• Presacral Tumor

    (Retrorectal Tumor)

    Definition

    The presacral space is the area between the rectum and lowest part of your spine, called the sacrum. A tumor is a growth in this area. It is rare but can be cancerous.
    Sacral Area
    si55550398 105433 1 sacrum
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    Causes

    A presacral tumor may be caused by:
    • Factors that are present from birth
    • Hereditary disorders like Currarino syndrome
    • Cancer of the connective tissue
    • Other forms of cancer that have spread

    Risk Factors

    Women are more likely to develop this type of tumor.

    Symptoms

    In some cases, there are no symptoms. If symptoms do occur, they may include:
    • Pain in the lower back or rectal/pelvic area
    • Pain that spreads to the lower extremities
    • A feeling of heaviness
    • Constipation
    • Overflow incontinence
    • Weight loss

    Diagnosis

    Your doctor will ask about your symptoms and medical history. A physical exam will be done, as well as a digital rectal exam.
    Images of your bodily structures may be taken. This can be done with:

    Treatment

    Talk with your doctor about the best treatment plan for you. This will depend on the type of tumor you have. Treatment options include:
    • Surgery to remove the tumor
    • Chemotherapy —If the tumor is cancerous, chemotherapy may be used. This involves using drugs to kill cancer cells.
    • Radiation therapy—This may be used along with chemotherapy. Radiation therapy involves using radiation to kill cancer cells and to shrink tumors.

    Prevention

    There are no steps to prevent this condition.

    RESOURCES

    America Cancer Society http://www.cancer.org

    American Society of Colon and Rectal Surgeons http://www.fascrs.org

    CANADIAN RESOURCES

    Canadian Cancer Society http://www.cancer.ca

    Colorectal Cancer Association of Canada http://www.colorectal-cancer.ca

    References

    Coco C, Manno A, Mattana C, et al. Congenital tumors of the retrorectal space in the adult: report of two cases and review of the literature. Tumori . 2009;94:602-607.

    Colorectal cancer. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated March 27, 2013. Accessed April 2, 2013.

    Pappalardo G, Frattaroli FM, Casciani E, et al. Retrorectal tumors: the choice of surgical approach based on a new classification. American Surgeon . 2009;75;3:240-248.

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