Adenocarcinoma Arising from Tailgut Cyst.
- Author:
Sang Wook KANG
1
;
Nam Kyu KIM
;
Seung Hyuk BAIK
;
Kang Young LEE
;
Seung Kook SOHN
;
Chang Hwan CHO
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. namkyuk@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Adenocarcinoma;
Tailgut cyst
- MeSH:
Adenocarcinoma*;
Adult;
Adventitia;
Female;
Humans;
Pathology;
Recurrence;
Tendons
- From:Journal of the Korean Surgical Society
2005;68(4):342-345
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Retrorectal cystic harmatoma; Tailgut cyst, is a rare congenital disease typically presented as presacral mass, and malignant change of this disease is extremely rare. Frequently, This disease is misdiagnosed or confused at initial time. So, we have a case of tailgut cyst and report the clinical symptom and the result. A 40-year-old woman has admitted at Severance hospital for the anal pain. About 6cm sized irregular cystic and solid mass in the retrorectal area involving coccygeal bone and right gluteal muscle tendon were detected in magnetic resonance image. Under the impression of malignant tailgut cyst, the patient underwent Hartmann's operation (abdomino-sacral approach) under the sacral resection (S4, 5). The pathology was adenocarcinoma (poorly differentiated) arising from a tailgut cyst involving rectal adventitia, gluteus muscle and sacral bone. For the following 4 months after the operation, The patient is doing well with no evidence of recurrence.
