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Mucus-secreting presacral cyst--a case report
The Japanese Journal of Surgery
|May 1, 1986
Summary
A rare mucus-secreting presacral cyst caused urinary symptoms in a 49-year-old woman. Surgical removal via a transsacral approach successfully treated the retrorectal mass.
Area of Science:
- Gastroenterology
- Urology
- Pathology
Background:
- Presacral cysts are rare retrorectal masses.
- Mucus-secreting cysts in this location are exceptionally uncommon.
Observation:
- A 49-year-old woman presented with dysuria.
- A digital rectal exam revealed a palpable retrorectal mass.
- Imaging confirmed a large presacral cystic tumor.
Findings:
- The presacral cyst was surgically excised using a transsacral approach.
- Histological examination revealed a cyst lined by squamous and mucus-secreting columnar epithelium.
- The diagnosis was confirmed as a mucus-secreting presacral cyst.
Implications:
- This case highlights the importance of considering rare cystic lesions in the differential diagnosis of retrorectal masses presenting with urinary symptoms.
- The transsacral approach is a viable surgical option for presacral cyst extirpation.
- Understanding the histological features is crucial for accurate diagnosis and management of these rare tumors.