Kovalcik P J, Simstein N L, Cross G H
Dis Colon Rectum. 1978 Apr;21(3):199-202. doi: 10.1007/BF02586572.
We recently had the opportunity to treat a patient who had a large presacral mass. The mass, a 13-cm neurilemmoma, was removed through a combined abdominosacral approach. Mostly benign, these presacral masses cause symptoms by compression of adjacent pelvic structures. Digital rectal examination generally provides the diagnosis. Although most such lesions may be removed by a Kraske procedure, large lesions may be best treated using a combined abdominosacral approach.
我们最近有机会治疗一位患有巨大骶前肿块的患者。该肿块为一个13厘米的神经鞘瘤,通过腹骶联合入路切除。这些骶前肿块大多为良性,通过压迫相邻盆腔结构引起症状。直肠指检通常可作出诊断。虽然大多数此类病变可通过克拉斯克手术切除,但较大的病变最好采用腹骶联合入路治疗。