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骶前尾肠囊肿。

Presacral Tailgut Cyst.

机构信息

Dr. D. Y. Patil Medical College and Research Centre, Affiliated to Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.

Department of General Surgery, Dr. D. Y. Patil Medical College and Research Centre, Affiliated to Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.

出版信息

Ann Afr Med. 2024 Apr 1;23(2):237-241. doi: 10.4103/aam.aam_45_23. Epub 2024 May 1.

DOI:10.4103/aam.aam_45_23
PMID:39028173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11210732/
Abstract

A tailgut cyst is a rare benign polycystic congenital lesion in presacral or retrorectal space, when there is failure of involution of tailgut. Clinical presentation may be with or without symptoms of different types related to obstruction, infection, or rarely malignancy. Symptoms may be misleading and atypical, so understanding of characteristics of tailgut cysts is important for precise and early diagnosis to be made for proper treatment and to avoid complications and malignant transformation. Magnetic resonance imaging pelvis was used as diagnostic imaging investigation, but the final confirmation was only done by histopathology. Definitive treatment is surgery, though various surgical approaches are described, surgery is tailored which will suit the individual patient's anatomy and suspected diagnosis of mass. This case review used PubMed and Web of Science databases to search for the studies. We found around 176 articles and selected 77 articles in our survey, with 8 reviews, 31 case reports, and 31 case reports and reviews.

摘要

直肠尾骨囊肿是一种罕见的先天性良性多房性病变,发生于直肠骶骨或直肠后间隙,是由于尾肠退化不全所致。临床表现可有或无与梗阻、感染相关的不同类型的症状,或罕见的恶性肿瘤。症状可能具有误导性和非典型性,因此了解直肠尾骨囊肿的特征对于准确和早期诊断、适当治疗以及避免并发症和恶性转化非常重要。骨盆磁共振成像(MRI)被用作诊断影像学检查,但最终的确诊仅通过组织病理学检查。明确的治疗方法是手术,但各种手术方法都有描述,手术方式会根据个体患者的解剖结构和疑似肿块的诊断进行调整。本病例复习使用了 PubMed 和 Web of Science 数据库进行研究检索。我们共找到约 176 篇文章,在我们的调查中选择了 77 篇文章,其中包括 8 篇综述、31 篇病例报告以及 31 篇病例报告和综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d5/11210732/3e1a9343c17f/AAM-23-237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d5/11210732/2b8caa5a1c19/AAM-23-237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d5/11210732/12e5c3f33795/AAM-23-237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d5/11210732/a17bac363011/AAM-23-237-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d5/11210732/3e1a9343c17f/AAM-23-237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d5/11210732/2b8caa5a1c19/AAM-23-237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d5/11210732/12e5c3f33795/AAM-23-237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d5/11210732/a17bac363011/AAM-23-237-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d5/11210732/3e1a9343c17f/AAM-23-237-g004.jpg

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Presacral Tailgut Cyst.骶前尾肠囊肿。
Ann Afr Med. 2024 Apr 1;23(2):237-241. doi: 10.4103/aam.aam_45_23. Epub 2024 May 1.
2
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Incidental findings in female pelvis MRI performed for gynaecological malignancies.因妇科恶性肿瘤而行女性盆腔磁共振成像时的偶然发现。
Insights Imaging. 2025 Jun 27;16(1):143. doi: 10.1186/s13244-025-02006-5.
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本文引用的文献

1
Tailgut Cysts with Malignant Transformation: Features, Diagnosis, and Treatment.尾部肠囊肿恶变:特征、诊断与治疗。
Med Sci Monit. 2020 Jan 11;26:e919803. doi: 10.12659/MSM.919803.
2
Single-center Experience of 24 Cases of Tailgut Cyst.24例尾肠囊肿的单中心经验
Ann Coloproctol. 2019 Oct;35(5):268-274. doi: 10.3393/ac.2018.12.18. Epub 2019 Oct 31.
3
Malignant transformation of tailgut cysts is significantly higher than previously reported: systematic review of cases in the literature.尾肠囊肿的恶性转化明显高于以往报道:文献中病例的系统回顾。
Diagnostics (Basel). 2025 Jan 4;15(1):108. doi: 10.3390/diagnostics15010108.
Colorectal Dis. 2019 Aug;21(8):869-878. doi: 10.1111/codi.14628. Epub 2019 Apr 30.
4
Tailgut cyst: report of three cases and review of the literature.尾肠囊肿:三例报告并文献复习
Acta Chir Belg. 2019 Apr;119(2):110-117. doi: 10.1080/00015458.2017.1353758. Epub 2019 Feb 18.
5
Surgical management of tailgut cysts: A rare case report.尾肠囊肿的外科治疗:一例罕见病例报告。
Medicine (Baltimore). 2019 Feb;98(6):e14448. doi: 10.1097/MD.0000000000014448.
6
Adenocarcinoma within a tailgut cyst.尾肠囊肿内的腺癌。
BMJ Case Rep. 2018 Aug 14;2018:bcr-2018-226107. doi: 10.1136/bcr-2018-226107.
7
Combined laparoscopic and perineal approach for the management of recurrent tailgut cyst.腹腔镜与会阴联合入路治疗复发性尾肠囊肿
Asian J Endosc Surg. 2019 Apr;12(2):181-184. doi: 10.1111/ases.12619. Epub 2018 Jul 3.
8
Transanal minimally invasive surgery for resection of retrorectal cyst.经肛门微创手术切除直肠后囊肿
J Surg Case Rep. 2018 Feb 21;2018(2):rjy021. doi: 10.1093/jscr/rjy021. eCollection 2018 Feb.
9
Laparoscopic resection of tailgut cysts: the size is not the issue.腹腔镜下尾肠囊肿切除术:大小并非问题所在。
Ann Ital Chir. 2016 Nov 3;87:S2239253X16025871.
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Unusual Case of Voiding Symptoms and Constipation: Retrorectal Cystic Hamartoma.排尿症状与便秘的罕见病例:直肠后囊性错构瘤
Urology. 2016 May;91:e5-6. doi: 10.1016/j.urology.2016.02.011. Epub 2016 Feb 20.