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Incidence and Operative Excision of Presacral Masses: An Institutional Analysis
David J Hiller1, Gregory S Waters, Jaime L Bohl
1Department of Surgery, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA.
The American Surgeon
|January 7, 2016
Summary
Presacral masses are rare but often benign lesions. Surgical excision, typically via a posterior approach, is effective for these tumors, with most patients experiencing symptom relief.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Radiology
Background:
- Presacral masses are uncommon and present diverse pathologies.
- The majority of presacral masses are benign in nature.
Purpose of the Study:
- To analyze the clinical presentation, pathology, and surgical treatment of presacral masses.
- To evaluate diagnostic imaging and surgical approaches for presacral tumors.
Main Methods:
- Retrospective review of surgically excised presacral tumors from 2003-2013.
- Analysis of clinical, pathological, and imaging data from 13 patients.
- Assessment of surgical approaches, including posterior, anterior, and combined methods.
Main Results:
- Seventy-seven percent (10/13) of presacral masses were benign; 23% (3/13) were malignant.
- Most symptomatic patients experienced relief after surgical excision.
- The posterior surgical approach was successful in 69% (9/13) of cases.
Conclusions:
- Presacral masses are rare, even in tertiary care centers.
- Multimodality imaging is commonly used for evaluation.
- Surgical excision, often via a posterior approach, is a viable treatment option.
