1. [Surgical management of a retrorectal tumor with consideration of a rare differential diagnosis].
- Author
-
Krückemeier K, Barth P, Peitz U, Hoffmann MW, and Allemeyer EH
- Subjects
- Adenocarcinoma diagnosis, Algorithms, Biopsy, Diagnosis, Differential, Disease Progression, Endosonography, Humans, Male, Middle Aged, Neoplasms, Unknown Primary diagnosis, Neoplasms, Unknown Primary pathology, Neoplasms, Unknown Primary surgery, Neuroendocrine Tumors diagnosis, Proctoscopy, Rectal Neoplasms diagnosis, Rectal Neoplasms secondary, Retroperitoneal Space, Sacrum pathology, Spinal Neoplasms diagnosis, Spinal Neoplasms pathology, Spinal Neoplasms secondary, Tomography, X-Ray Computed, Adenocarcinoma pathology, Adenocarcinoma secondary, Adenocarcinoma surgery, Neuroendocrine Tumors pathology, Neuroendocrine Tumors surgery, Rectal Neoplasms pathology, Rectal Neoplasms surgery, Sacrum surgery, Spinal Neoplasms surgery
- Abstract
We present a case of a retrorectal space occupying lesion diagnosed as an adenocarcinoma of unknown primary origin by preoperative histopathology. Localization slightly above the anal sphincter would have required extirpation of the rectum. Rectal palpation, endosonography and radiological imaging, however, suggested a retrorectal tumor or a metastasis of an adenocarcinoma. Both entities would have required local resection. We applied a surgical algorithm including frozen biopsy allowing a stepwise choice of operative procedure from the spectrum in question. The operation performed was thus tailored to the entity of the tumor.
- Published
- 2012
- Full Text
- View/download PDF