Experience in the diagnosis and treatment of 31 patients with primary presacral tumor
10.3760/cma.j.issn.1008-6315.2012.023
- VernacularTitle:原发性骶前肿瘤31例诊治分析
- Author:
Jianqiang WU
;
Xiaoqing GUAN
;
Hailong HUANG
;
Jian WANG
;
Jisheng WU
- Publication Type:Journal Article
- Keywords:
Presacral tumor;
Difficult defecation;
Surgical treatment
- From:
Clinical Medicine of China
2012;28(1):60-62
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the diagnosis and surgical treatment techniques for the patients with primary presacral tumor.Methods Data from 31 patients with primary presacral tumor admitted into our Department for Surgery from Jan. 1999 to Jar. 2009 were retrospectively analyzed.All patients underwent surgical treatment,among them,10 received per-sacroiliac or per-perineum approaches to remove the tumors,18 receivedper-abdomentumorectomy, and3receivedcombinedper-peritoneumandper-perineum tumorectomy.Results Patients visited the doctor while exhibiting the compression symptoms by the the tumors.Final diagnosis could be reached with the help of rectal touch,B-mode ultrasound,computerized tomography,or magnetic resonance imaging.Complete resection was performed in 28 patients.Partial resection was performed in 3 patients.Fractionated resection was successfully performed in 2 patients with chronic infection or sinus tract.ConclusionThe primary presacral tumor should be surgically resected once final diagnosised and without surgical contraindications.Pelvic plexus should be preserved and presacral hemorrhage should be prevented.The tumor should be resected as complete as possible.
