Malignant risk and surgical outcomes of presacral tailgut cysts

K. L. Mathis, Eric Dozois, M. S. Grewal, P. Metzger, David Larson, R. M. Devine

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Background: Presacral tailgut cysts are uncommon and few data exist on the outcomes following surgery. Methods: Patients undergoing tailgut cyst resection at the Mayo Clinic between 1985 and 2008 were analysed retrospectively. Demographic data, clinicopathological features, operative details, postoperative complications and recurrence were reviewed. Results: Thirty-one patients were identified (28 women), with a median age of 52 years. Seventeen patients were symptomatic and 28 had a palpable mass on digital rectal examination. Median cyst diameter was 4-4 cm. Four patients had a fistula to the rectum. Complete cyst excision was achieved in all patients; eight underwent distal sacral resection or coccygectomy. Postoperative complications occurred in eight patients but without 30-day mortality. Malignant transformation was present in four patients: adenocarcinoma in three and carcinoid in one. The cyst recurred in one patient after surgery for a benign lesion. Conclusion: Presacral tailgut cysts should be removed due to the risk of malignant transformation.

Original languageEnglish (US)
Pages (from-to)575-579
Number of pages5
JournalBritish Journal of Surgery
Volume97
Issue number4
DOIs
StatePublished - Apr 2010

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Cysts
Digital Rectal Examination
Carcinoid Tumor
Rectum
Fistula
Adenocarcinoma
Demography
Recurrence
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Malignant risk and surgical outcomes of presacral tailgut cysts. / Mathis, K. L.; Dozois, Eric; Grewal, M. S.; Metzger, P.; Larson, David; Devine, R. M.

In: British Journal of Surgery, Vol. 97, No. 4, 04.2010, p. 575-579.

Research output: Contribution to journalArticle

Mathis, K. L. ; Dozois, Eric ; Grewal, M. S. ; Metzger, P. ; Larson, David ; Devine, R. M. / Malignant risk and surgical outcomes of presacral tailgut cysts. In: British Journal of Surgery. 2010 ; Vol. 97, No. 4. pp. 575-579.
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