Adenocarcinoma arising in a tailgut cyst: report of a case.

Abstract:

:We report herein the unusual case of a 66-year-old woman found to have adenocarcinoma arising in a tailgut cyst. The patient had been observed for 6 months following the discovery of a presacral cystic mass measuring 10 x 9 cm for which she had refused surgery. The serum tumor marker, carcinoembryonic antigen, became slightly elevated, and diagnostic imaging distinctly revealed a tumorous lesion with papillary projection into the cyst lumen. The cystic mass was then excised through the transsacral approach. The pathological findings were compatible with moderately differentiated adenocarcinoma arising in a tailgut cyst. This entity is extremely rare, and only six cases, including our own, have been reported in the English literature. Early complete excision is advised because it is almost impossible to determine for certain whether presacral cystic masses are benign or malignant prior to surgery.

journal_name

Surg Today

journal_title

Surgery today

authors

Maruyama A,Murabayashi K,Hayashi M,Nakano H,Isaji S,Uehara S,Kusuda T,Miyahara S,Kondo A,Nakano H,Yabana T

doi

10.1007/BF02482826

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

1319-22

issue

12

eissn

0941-1291

issn

1436-2813

pii

10.1007/BF02482826

journal_volume

28

pub_type

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