Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana.
Department of Surgery, University of Ghana Medical School, College of Health Sciences, Accra, Ghana.
Ghana Med J. 2022 Mar;56(1):46-50. doi: 10.4314/gmj.v56i1.8.
A tailgut cyst is a rare congenital lesion that develops from a residual posterior remnant of the intestine and presents as a mass in the presacral space. They are generally asymptomatic or have atypical symptoms, are usually benign but may rarely become malignant. We report a case of a 37-year-old female who initially presented to the Surgical Department of Korle Bu Teaching Hospital, Accra, Ghana with a malignant tailgut cyst after having repeated surgical procedures for recurrent perianal infective pathologies but still had persistence of symptoms. The lesion was initially excised and found to be a dermoid cyst histologically. The mass recurred after a year and had a re-excision; the lesion was diagnosed histologically as mucinous adenocarcinoma. This report emphasizes the different forms of presentation of a patient with a tailgut cyst and the possibility of malignant transformation, as well as the presentation of this tailgut cyst which can be diagnosed using radiological investigations and histological findings.
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尾肠囊肿是一种罕见的先天性病变，由肠后部的残余物发展而来，表现为骶前间隙的肿块。它们通常无症状或表现为非典型症状，通常为良性，但也可能罕见恶变。我们报告了一例 37 岁女性病例，最初在加纳阿克拉科勒布教学医院外科就诊，患者因复发性肛周感染性病变接受了多次手术，但仍有持续性症状，被诊断为恶性尾肠囊肿。该病变最初被切除，组织学上为皮样囊肿。一年后肿瘤复发，再次进行了切除，组织学诊断为黏液性腺癌。本报告强调了尾肠囊肿患者的不同表现形式以及恶变的可能性，还介绍了可以通过影像学检查和组织学发现进行诊断的尾肠囊肿。
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