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直肠后皮样囊肿:一种罕见的临床实体。

Retrorectal dermoid cyst: a rare clinical entity.

作者信息

Munteanu I, Badulescu Adriana, Mastalier B, Munteanu Mihaela Luminita, Diaconu Emilia, Popescu Carmen

机构信息

"Titu Maiorescu" University, Faculty of Medicine, Surgical Department - Clinic Hospital CF-2 Bucharest, Romania.

University of Medicine and Pharmacy "Carol Davila ", Surgery Clinic No. 2, Clinic Hospital Colentina, Bucharest, Romania.

出版信息

Curr Health Sci J. 2013 Jul;39(3):179-83. Epub 2013 Jul 1.

Abstract

The retrorectal space represents the anatomical site at which level we identify the embryologic reminiscents in which it can develop liquid tumors - cysts or solid tumors - neoplasia. These tumors are rare but pose a diagnostic and therapeutic interest. This paper presents the case of a young 18 years-old diagnosed incidentally at a gynecological examination, with a palpable tumor developed, at the retrorectal space. Imaging examinations - transvaginal ultrasound and abdominal - pelvic computer tomographic exam - have supported the presence of a cystic tumor with a maximum diameter of 7.8 cm., in the space retrorectal. The lesion presented surgical indication, so it needed a posterior approach with resection of the coccyx enough for the control and safety of the operation. Histopathological examination revealed a dermoid cyst. Five years after surgery the patient is presented in good general condition, asymptomatic without clinical and imaging signs of local-regional recurrence.

摘要

直肠后间隙是我们识别胚胎残余物的解剖部位,在此部位可能发生液性肿瘤(囊肿)或实性肿瘤(瘤形成)。这些肿瘤很罕见,但具有诊断和治疗意义。本文介绍了一名18岁年轻女性的病例,该患者在妇科检查时偶然被诊断出直肠后间隙有一个可触及的肿瘤。影像学检查(经阴道超声和腹部-盆腔计算机断层扫描)证实直肠后间隙存在一个最大直径为7.8厘米的囊性肿瘤。该病变有手术指征,因此需要采用后路手术,切除足够的尾骨以确保手术的控制和安全。组织病理学检查显示为皮样囊肿。手术后五年,患者总体状况良好,无症状,无局部区域复发的临床和影像学迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8955/3945281/79ccdc120eb8/CHSJ-39-3-179-fig1.jpg

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