Tumors of the retrorectal space

Kristina G. Hobson, Vafa Ghaemmaghami, John P. Roe, James E Goodnight Jr, Vijay P. Khatri

Research output: Contribution to journalArticle

103 Citations (Scopus)

Abstract

PURPOSE: Retrorectal tumors are a diverse group of masses derived from a variety of embryologic origins. Because of this, some confusion is associated with their diagnosis and management. Although rare, a basic understanding of the etiology, presentation, work-up, and treatment of retrorectal masses is essential. METHODS: The incidence, classification, diagnosis, treatment, and prognosis of these masses are presented. A comprehensive review of the literature is included in our analysis. RESULTS: Retrorectal lesions can be classified as congenital, inflammatory, neurogenic, osseous, or miscellaneous. Benign and malignant lesions behave similarly. The most common presentation is an asymptomatic mass discovered on routine rectal examination, but certain nonspecific symptoms can be elicited by careful history. Biopsy of these lesions should be avoided to prevent tumor seeding, fecal fistula, meningitis, and abscess formation. Complete surgical resection, usually after appropriate specialized imaging, remains the cornerstone of their treatment. Three approaches commonly used for resection are abdominal, transsacral, or a combined abdominosacral approach. Prognosis is directly related primarily to local control, which often is difficult to achieve for malignant lesions. CONCLUSIONS: Retrorectal masses present a challenging surgical problem from diagnosis to treatment. A high index of suspicion and resultant early diagnosis, followed by thorough preoperative planning, is required for optimal management and outcome.

Original languageEnglish (US)
Pages (from-to)1964-1974
Number of pages11
JournalDiseases of the Colon and Rectum
Volume48
Issue number10
DOIs
StatePublished - Oct 2005

Fingerprint

Neoplasms
Meningitis
Abscess
Fistula
Early Diagnosis
History
Biopsy
Incidence

Keywords

  • Cancer
  • Mass
  • Presacral
  • Retrorectal

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Hobson, K. G., Ghaemmaghami, V., Roe, J. P., Goodnight Jr, J. E., & Khatri, V. P. (2005). Tumors of the retrorectal space. Diseases of the Colon and Rectum, 48(10), 1964-1974. https://doi.org/10.1007/s10350-005-0122-9

Tumors of the retrorectal space. / Hobson, Kristina G.; Ghaemmaghami, Vafa; Roe, John P.; Goodnight Jr, James E; Khatri, Vijay P.

In: Diseases of the Colon and Rectum, Vol. 48, No. 10, 10.2005, p. 1964-1974.

Research output: Contribution to journalArticle

Hobson, KG, Ghaemmaghami, V, Roe, JP, Goodnight Jr, JE & Khatri, VP 2005, 'Tumors of the retrorectal space', Diseases of the Colon and Rectum, vol. 48, no. 10, pp. 1964-1974. https://doi.org/10.1007/s10350-005-0122-9
Hobson, Kristina G. ; Ghaemmaghami, Vafa ; Roe, John P. ; Goodnight Jr, James E ; Khatri, Vijay P. / Tumors of the retrorectal space. In: Diseases of the Colon and Rectum. 2005 ; Vol. 48, No. 10. pp. 1964-1974.
@article{2dc37eef19654df6877091de04e7d566,
title = "Tumors of the retrorectal space",
abstract = "PURPOSE: Retrorectal tumors are a diverse group of masses derived from a variety of embryologic origins. Because of this, some confusion is associated with their diagnosis and management. Although rare, a basic understanding of the etiology, presentation, work-up, and treatment of retrorectal masses is essential. METHODS: The incidence, classification, diagnosis, treatment, and prognosis of these masses are presented. A comprehensive review of the literature is included in our analysis. RESULTS: Retrorectal lesions can be classified as congenital, inflammatory, neurogenic, osseous, or miscellaneous. Benign and malignant lesions behave similarly. The most common presentation is an asymptomatic mass discovered on routine rectal examination, but certain nonspecific symptoms can be elicited by careful history. Biopsy of these lesions should be avoided to prevent tumor seeding, fecal fistula, meningitis, and abscess formation. Complete surgical resection, usually after appropriate specialized imaging, remains the cornerstone of their treatment. Three approaches commonly used for resection are abdominal, transsacral, or a combined abdominosacral approach. Prognosis is directly related primarily to local control, which often is difficult to achieve for malignant lesions. CONCLUSIONS: Retrorectal masses present a challenging surgical problem from diagnosis to treatment. A high index of suspicion and resultant early diagnosis, followed by thorough preoperative planning, is required for optimal management and outcome.",
keywords = "Cancer, Mass, Presacral, Retrorectal",
author = "Hobson, {Kristina G.} and Vafa Ghaemmaghami and Roe, {John P.} and {Goodnight Jr}, {James E} and Khatri, {Vijay P.}",
year = "2005",
month = "10",
doi = "10.1007/s10350-005-0122-9",
language = "English (US)",
volume = "48",
pages = "1964--1974",
journal = "Diseases of the Colon and Rectum",
issn = "0012-3706",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

TY - JOUR

T1 - Tumors of the retrorectal space

AU - Hobson, Kristina G.

AU - Ghaemmaghami, Vafa

AU - Roe, John P.

AU - Goodnight Jr, James E

AU - Khatri, Vijay P.

PY - 2005/10

Y1 - 2005/10

N2 - PURPOSE: Retrorectal tumors are a diverse group of masses derived from a variety of embryologic origins. Because of this, some confusion is associated with their diagnosis and management. Although rare, a basic understanding of the etiology, presentation, work-up, and treatment of retrorectal masses is essential. METHODS: The incidence, classification, diagnosis, treatment, and prognosis of these masses are presented. A comprehensive review of the literature is included in our analysis. RESULTS: Retrorectal lesions can be classified as congenital, inflammatory, neurogenic, osseous, or miscellaneous. Benign and malignant lesions behave similarly. The most common presentation is an asymptomatic mass discovered on routine rectal examination, but certain nonspecific symptoms can be elicited by careful history. Biopsy of these lesions should be avoided to prevent tumor seeding, fecal fistula, meningitis, and abscess formation. Complete surgical resection, usually after appropriate specialized imaging, remains the cornerstone of their treatment. Three approaches commonly used for resection are abdominal, transsacral, or a combined abdominosacral approach. Prognosis is directly related primarily to local control, which often is difficult to achieve for malignant lesions. CONCLUSIONS: Retrorectal masses present a challenging surgical problem from diagnosis to treatment. A high index of suspicion and resultant early diagnosis, followed by thorough preoperative planning, is required for optimal management and outcome.

AB - PURPOSE: Retrorectal tumors are a diverse group of masses derived from a variety of embryologic origins. Because of this, some confusion is associated with their diagnosis and management. Although rare, a basic understanding of the etiology, presentation, work-up, and treatment of retrorectal masses is essential. METHODS: The incidence, classification, diagnosis, treatment, and prognosis of these masses are presented. A comprehensive review of the literature is included in our analysis. RESULTS: Retrorectal lesions can be classified as congenital, inflammatory, neurogenic, osseous, or miscellaneous. Benign and malignant lesions behave similarly. The most common presentation is an asymptomatic mass discovered on routine rectal examination, but certain nonspecific symptoms can be elicited by careful history. Biopsy of these lesions should be avoided to prevent tumor seeding, fecal fistula, meningitis, and abscess formation. Complete surgical resection, usually after appropriate specialized imaging, remains the cornerstone of their treatment. Three approaches commonly used for resection are abdominal, transsacral, or a combined abdominosacral approach. Prognosis is directly related primarily to local control, which often is difficult to achieve for malignant lesions. CONCLUSIONS: Retrorectal masses present a challenging surgical problem from diagnosis to treatment. A high index of suspicion and resultant early diagnosis, followed by thorough preoperative planning, is required for optimal management and outcome.

KW - Cancer

KW - Mass

KW - Presacral

KW - Retrorectal

UR - http://www.scopus.com/inward/record.url?scp=26444516633&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26444516633&partnerID=8YFLogxK

U2 - 10.1007/s10350-005-0122-9

DO - 10.1007/s10350-005-0122-9

M3 - Article

C2 - 15981068

AN - SCOPUS:26444516633

VL - 48

SP - 1964

EP - 1974

JO - Diseases of the Colon and Rectum

JF - Diseases of the Colon and Rectum

SN - 0012-3706

IS - 10

ER -