[Presacral myelolipoma: a case report]
A Spizzirri1, V Napolitano, F La Mura
1Università degli Studi di Perugia- Sede di Terni Azienda Pspedaliera, S. Maria- Terni Clinica Chirurgica Generale d d'Urgenza.
Il Giornale Di Chirurgia
|October 14, 2010
Summary
This case study highlights a rare presacral myelolipoma in a 69-year-old woman. Complete surgical excision with an anterior approach is recommended for accurate diagnosis and treatment of these slow-growing tumors.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Presacral tumors are rare, often benign, and slow-growing, with a low incidence rate.
- They are frequently asymptomatic, with symptoms arising from tumor size, location, or infection.
Observation:
- A 69-year-old woman presented with lower abdominal pain and right lower limb neurological deficits.
- Rectal examination revealed a fixed, tender mass; imaging (CT, MRI) and biopsy confirmed a presacral mass of connective origin.
- The mass was tenaciously adherent to the sacrum, necessitating complete surgical excision.
Findings:
- Histological examination confirmed the presacral mass as a myelolipoma.
- The tumor was solid, dishomogeneous, and located in the presacral region without pelvic lymphadenopathy.
Implications:
- En-bloc resection via an anterior surgical approach facilitates accurate histological diagnosis.
- This approach is considered optimal for potentially malignant presacral lesions, which often resist radio and chemotherapy.