Mielolipoma presacrale: case report

Spizzirri, Alessandro and Napolitano, Vincenzo and La Mura, Francesco and Cattorini, Lorenzo and Farinella, Eriberto and Del Monaco, Pamela and Migliaccio, Carla and Pressi, E. and Del Sol, A. and Bravetti, Marco and Coccetta, Marco and Cirocchi, Roberto and Sciannameo, Francesco (2010) Mielolipoma presacrale: case report. Il giornale di chirurgia, 31 (10). pp. 451-455. ISSN 1971-145X

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Background. Presacral tumors are more frequently benign, and only occasionally malignant, showing a slow growth and an incidence of 1:40.000. They are asymptomatic in the 26-50% of the cases. When symptoms occur, these are related to the dimensions of the tumor, to its location and to the presence of infection. Case report. We report the case of a 69-year old woman with a lower abdominal pain associated with paresthesia and ipostenia of the right inferior limb. Digital rectal examination showed a fixed, mild tender and hard tumor of the posterior rectal wall. CT, MR and CT-guided biopsy sequently performed revealed a solid, dishomogeneous mass, located in the presacral region, with a connective likely origin, without pelvic lymphoadenopathy. The operation allowed to esteem a mass which was tenaciously adherent to the sacrum. We performed a total excision. Final histological diagnosis was myelolipoma. Conclusions. The Authors’ opinion is that the en-bloc resection of these tumors with an anterior surgical approach allows a histological diagnosis of the nature, representing the best treatment for potentially malignant lesions, which are frequently radio and chemo-resistant.

Item Type: Article
Uncontrolled Keywords: Neoplasie presacrali - Mielolipoma - Chirurgia
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 20 Apr 2016 15:57
Last Modified: 20 Apr 2016 15:57
URI: http://eprints.bice.rm.cnr.it/id/eprint/7199

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