[Presacral epidermoid cyst].

Prensa Med Argent

Published: July 1971

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Article Synopsis
  • Presacral epidermoid cysts are uncommon benign tumors that can turn malignant; a case study reports a 66-year-old woman whose cyst transformed into squamous cell carcinoma (SCC) that spread to her mesopharynx.
  • After the diagnosis, the patient underwent extensive surgery, including total pelvic exenteration, and received adjuvant radiotherapy, but developed a new mesopharyngeal carcinoma four years later.
  • She was treated with neoadjuvant chemotherapy and surgery, ultimately showing no signs of tumor recurrence 1.5 years after her operations, highlighting the rarity of metastatic mesopharyngeal carcinoma from other sites.
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Presacral Keratinous and Dermoid Cyst Masquerading as Meningocele - A Rare Case Report.

Afr J Paediatr Surg

October 2024

Department of Pediatric Surgery, AIIMS, Jammu, Jammu and Kashmir, India.

Article Synopsis
  • Presacral tumors are uncommon growths linked to defects in midline closure during development, and they can cause discomfort and other symptoms in affected individuals.
  • A 15-month-old girl experienced lower abdominal pain and difficulty urinating, leading to her diagnosis of a presacral mass that extended into the gluteal area.
  • Surgical removal of the mass, along with the tailbone, revealed it to be a keratinous cyst, while another cyst found later on her face was identified as a dermoid cyst, which was also surgically excised.
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Article Synopsis
  • Complete resection of presacral epidermoid cysts is crucial to prevent complications like infection or cancer, but there is no standard surgical method for this procedure.
  • A case involving a 44-year-old obese male patient with a large cystic tumor showed successful treatment using a laparoscopic transabdominal resection, offering advantages in visibility and reduced scarring compared to traditional methods.
  • The findings suggest that the laparoscopic transabdominal approach is a viable and effective option for removing presacral tumors, especially in obese individuals.
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Background: Epidermoid cyst is rare congenital lesion of ectodermal origin that arises from the remnants of the embryonic tissues. Although epidermal cysts are frequently observed throughout the body, they are rarely found in the presacral regions. It more commonly occurs in women of reproductive age as an asymptomatic, incidental finding during routine physical examination or imaging studies, or during obstetric and gynecologic events.

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