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Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut Cyst

Background: Tailgut cysts are rare congenital lesions that develop in the presacral space. As they can potentially conceal primary neuroendocrine tumors, surgical excision is suggested as the treatment of choice. However, specific management guidelines have yet to be developed. A posterior approach...

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Autores principales: Di Nuzzo, Maria Michela, De Werra, Carlo, Pace, Mirella, Franca, Raduan Ahmed, D’Armiento, Maria, Bracale, Umberto, Lionetti, Ruggero, D’Ambra, Michele, Calogero, Armando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9141776/
https://www.ncbi.nlm.nih.gov/pubmed/35627942
http://dx.doi.org/10.3390/healthcare10050805
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author Di Nuzzo, Maria Michela
De Werra, Carlo
Pace, Mirella
Franca, Raduan Ahmed
D’Armiento, Maria
Bracale, Umberto
Lionetti, Ruggero
D’Ambra, Michele
Calogero, Armando
author_facet Di Nuzzo, Maria Michela
De Werra, Carlo
Pace, Mirella
Franca, Raduan Ahmed
D’Armiento, Maria
Bracale, Umberto
Lionetti, Ruggero
D’Ambra, Michele
Calogero, Armando
author_sort Di Nuzzo, Maria Michela
collection PubMed
description Background: Tailgut cysts are rare congenital lesions that develop in the presacral space. As they can potentially conceal primary neuroendocrine tumors, surgical excision is suggested as the treatment of choice. However, specific management guidelines have yet to be developed. A posterior approach is usually preferred for cysts extending to the third sacral vertebral body. Conversely, a transabdominal approach is preferred for lesions extending upward to achieve an optimal view of the surgical field and avoid injuries. Case report: Here, we report a case of a 48-year-old man suffering from perianal pain and constipation. Digital rectal examination and magnetic resonance imaging revealed a presacral mass below the third sacral vertebral body. A laparoscopic transabdominal presacral tumor excision was performed. The final histological diagnosis was a rare primary neuroendocrine tumor arising from a tailgut cyst. The postoperative course was uneventful, and no signs of recurrence were observed at the six-month follow-up. Conclusions: This study may help establish more well-grounded recommendations for the surgical management of rectal tumors, demonstrating that the laparoscopic transabdominal technique is safe and feasible, even for lesions below the third sacral vertebral body. This approach provided an adequate view of the presacral space, facilitating the preservation of cyst integrity, which is essential in cases of malignant pathologies.
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spelling pubmed-91417762022-05-28 Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut Cyst Di Nuzzo, Maria Michela De Werra, Carlo Pace, Mirella Franca, Raduan Ahmed D’Armiento, Maria Bracale, Umberto Lionetti, Ruggero D’Ambra, Michele Calogero, Armando Healthcare (Basel) Case Report Background: Tailgut cysts are rare congenital lesions that develop in the presacral space. As they can potentially conceal primary neuroendocrine tumors, surgical excision is suggested as the treatment of choice. However, specific management guidelines have yet to be developed. A posterior approach is usually preferred for cysts extending to the third sacral vertebral body. Conversely, a transabdominal approach is preferred for lesions extending upward to achieve an optimal view of the surgical field and avoid injuries. Case report: Here, we report a case of a 48-year-old man suffering from perianal pain and constipation. Digital rectal examination and magnetic resonance imaging revealed a presacral mass below the third sacral vertebral body. A laparoscopic transabdominal presacral tumor excision was performed. The final histological diagnosis was a rare primary neuroendocrine tumor arising from a tailgut cyst. The postoperative course was uneventful, and no signs of recurrence were observed at the six-month follow-up. Conclusions: This study may help establish more well-grounded recommendations for the surgical management of rectal tumors, demonstrating that the laparoscopic transabdominal technique is safe and feasible, even for lesions below the third sacral vertebral body. This approach provided an adequate view of the presacral space, facilitating the preservation of cyst integrity, which is essential in cases of malignant pathologies. MDPI 2022-04-26 /pmc/articles/PMC9141776/ /pubmed/35627942 http://dx.doi.org/10.3390/healthcare10050805 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Di Nuzzo, Maria Michela
De Werra, Carlo
Pace, Mirella
Franca, Raduan Ahmed
D’Armiento, Maria
Bracale, Umberto
Lionetti, Ruggero
D’Ambra, Michele
Calogero, Armando
Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut Cyst
title Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut Cyst
title_full Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut Cyst
title_fullStr Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut Cyst
title_full_unstemmed Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut Cyst
title_short Promoting Laparoscopic Anterior Approach for a Very Low Presacral Primary Neuroendocrine Tumor Arising in a Tailgut Cyst
title_sort promoting laparoscopic anterior approach for a very low presacral primary neuroendocrine tumor arising in a tailgut cyst
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9141776/
https://www.ncbi.nlm.nih.gov/pubmed/35627942
http://dx.doi.org/10.3390/healthcare10050805
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