A Case Report of Neuroendocrine Tumor in Presacral Region: How Can It Be Managed? Laparoscopy versus Laparotomy

Document Type : Case Report


1 Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Universal Scientific Education and Research Network (USERN), Tehran, Iran


Presacral or retrorectal tumors are rare, usually asymptomatic, and diagnosed accidentally during physical examination
or imaging. Symptomatic tumors may present with perianal pain, bowel dysfunction, and urinary symptoms due
to the mass compression or invasion of the surrounding tissues and organs. Surgical resection is the first choice for
treating presacral tumors. Clinicians should choose surgical procedures based on the location and size of the tumors.
We presented a 43-year-old woman who suffered from pelvic pain and primary infertility from two years ago. A large
mass between the posterior vaginal wall and the rectum was found on recto-vaginal examination. Magnetic resonance
imaging (MRI) revealed a large 120×115 mm benign multiloculated cystic mass. Eventually, the mass was removed
through laparoscopic surgery. The pathology report indicated a carcinoid tumor (grade I) with no lymphovascular
invasion. Thus, presacral tumors are resectable through laparoscopy with lower complications than open surgery.


Main Subjects

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