Clinicopathological Features of Retrorectal Tumors in an Adult: A Case Report and Review of the Literatures.

Kwon, Hye Youn; Hur, Hyuk; Min, Byung Soh; Kim, Nam Kyu; Sohn, Seung Kook; Cho, Chang Hwan

doi:10.3393/jksc.2008.24.4.292

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Case Report
Clinicopathological Features of Retrorectal Tumors in an Adult: A Case Report and Review of the Literatures.: Kwon, Hye Youn , Hur, Hyuk , Min, Byung Soh , Kim, Nam Kyu , Sohn, Seung Kook , Cho, Chang Hwan; Journal of the Korean Society of Coloproctology 2008;24(4):292-297
DOI: https://doi.org/10.3393/jksc.2008.24.4.292

Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. namkyuk@yuhs.ac

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Abstract

Retrorectal tumors are particularly rare among the adult population, occurring in 1 of 40,000 hospital admissions. Clinical diagnosis is difficult and is often delayed because of vague symptoms. This study aimed to investigate the clinicopathological features of retrorectal tumors. Between January 1999 and March 2005, 10 patients were diagnosed with retrorectal tumors at the Department of Surgery, Yonsei University Medical Center, and their medical records were reviewed. We analyzed chief complaints, imaging studies, surgical approaches and pathologic examinations. Out of 10 patients, 8 were female and 2 were male. The mean age was 42.8 years. Four patients had no symptoms. Perianal and abdominal pain were the most common presentations. CT and MRI were the most frequently performed imaging studies. Surgery was performed in 9 patients. Postoperative pathologic diagnosis was possible in 9 patients. An epidermal cyst was the most common tumor (4 patients); others included a mature teratoma, an adenocarcinoma from a tail gut cyst, a duplication cyst, a neurogenic tumor, and a smooth muscle cell tumor. Imaging techniques like CT scans, MRI and TRUS are helpful to determine the size and the extent of a tumor and its relationship to the surrounding anatomical structures for the operative approach. A surgical resection is the standard of treatment and demonstrates good results and a good prognosis.

Keywords: Retrorectal tumor;Epidermal cyst;Mature teratoma;Tail gut cyst;Duplication cyst

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Retrorectal Tumors in Adults: A 10-Year Retrospective Study
Abdullah Oguz, Abdullah Böyük, Ahmet Turkoglu, Cemil Goya, Ulas Alabalık, Fatma Teke, Hıdır Budak, Metehan Gumuş
International Surgery.2015; 100(7-8): 1177. CrossRef
Clinicopathological features of retrorectal tumors in adults: 9 years of experience in a single institution
Bong-Hyeon Kye, Hyung-Jin Kim, Hyeon-Min Cho, Hyung-Min Chin, Jun-Gi Kim
Journal of the Korean Surgical Society.2011; 81(2): 122. CrossRef
Clinical Study and Review of Articles (Korean) about Retrorectal Developmental Cysts in Adults
Sung Wook Baek, Haeng Ji Kang, Ji Yong Yoon, Do Youn Whang, Duk Hoon Park, Seo Gue Yoon, Hyun Sik Kim, Jong Kyun Lee, Jung Dal Lee, Kwang Yun Kim
Journal of the Korean Society of Coloproctology.2011; 27(6): 303. CrossRef

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