Presacral Tumor

(Retrorectal Tumor)
  • Definition

    The presacral space is the area between the rectum and lowest part of your spine, called the sacrum. A tumor is a growth in this area. The tumor can range from a cyst to a mass that invades pelvic structures. It is rare but can be cancerous.
    Sacral Area
    si55550398 105433 1 sacrum
    Copyright © Nucleus Medical Media, Inc.
  • Causes

    A presacral tumor may be caused by:
    • Factors that are present from birth
    • Hereditary disorders like Currarino syndrome
    • Cancer of the connective tissue
    • Other forms of cancer that have spread
  • Risk Factors

    Women are more likely to develop this type of tumor.
  • Symptoms

    In some cases, there are no symptoms. If symptoms do occur, they may include:
    • Pain in the lower back or rectal/pelvic area
    • Pain that spreads to the lower extremities
    • A feeling of heaviness
    • Constipation
    • Incontinence
    • Weight loss
  • Diagnosis

    Your doctor will ask about your symptoms and medical history. A physical exam will be done, as well as a digital rectal exam.
    Images of your bodily structures may be taken. This can be done with:
    Your bodily tissues may be tested. This can be done with biopsy.
  • Treatment

    Talk with your doctor about the best treatment plan for you. This will depend on the type of tumor you have. Treatment options include:
    • Surgery to remove the tumor
    • Chemotherapy —If the tumor is cancerous, chemotherapy may be used. This involves using drugs to kill cancer cells.
    • Radiation therapy—This may be used along with chemotherapy. Radiation therapy involves using radiation to kill cancer cells and to shrink tumors.
  • Prevention

    There are no steps to prevent this condition.
  • RESOURCES

    America Cancer Society http://www.cancer.org

    American Society of Colon and Rectal Surgeons http://www.fascrs.org

    CANADIAN RESOURCES

    Canadian Cancer Society http://www.cancer.ca

    Colorectal Cancer Association of Canada http://www.colorectal-cancer.ca

    References

    Coco C, Manno A, Mattana C, et al. Congenital tumors of the retrorectal space in the adult: report of two cases and review of the literature. Tumori. 2009;94:602-607.

    Colorectal cancer. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 25, 2013. Accessed July 30, 2013.

    Pappalardo G, Frattaroli FM, Casciani E, et al. Retrorectal tumors: the choice of surgical approach based on a new classification. American Surgeon. 2009;75;3:240-248.

    Revision Information

  • Connect with Steward

    Visit Our Twitter Feed Visit Our Facebook Page Email This Page Share This Page Print This Page

    Subscribe to Believe

    Our electronic health news
    Copyright © 2014 Steward Health Care
    Connect Healthcare Panacea CMS Solutions