DefinitionThe 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.
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CausesA 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 FactorsWomen are more likely to develop this type of tumor.
SymptomsIn 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
- Weight loss
DiagnosisYour 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:
TreatmentTalk 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.
PreventionThere are no steps to prevent this condition.
America Cancer Society
American Society of Colon and Rectal Surgeons
Canadian Cancer Society
Colorectal Cancer Association of Canada
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.
- Reviewer: Mohei Abouzied, MD
- Review Date: 05/2014
- Update Date: 05/28/2014
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