Retroperitoneal tumors of the small pelvis


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Resumo

Retrorectal cystic hamartoma is a rare congenital tumoroid mass, the cause of which is abnormal embryo development. Its diagnostic techniques are transrectal ultrasound, magnetic resonance imaging (MRI), and computed tomography. Resection of cystic hamartomas is a conventional surgical intervention through different accesses: anterior (abdominal), posterior (sacrococcygeal, perineal, or perianal, transanal), and combined. The paper describes 2 clinical cases. One of them is retroperitoneal pararectal teratoma of the small pelvis, which was removed via pararectal approach. Surgery was performed via laparoscopic access in two other cases: neurofibroma of the retroperitoneal space with plexiform structures and cystic degeneration, as well as retrorectal cystic hаmartoma. The diagnosis was verified by MRI and histology in all cases. Conclusion. The given data agree with the data available in the literature on the advisability of surgical treatment through different approaches.

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Sobre autores

Vladimir Chuprynin

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_chuprynin@oparina4.ru
PhD, Head of the Department of General Surgery

Yuriy Popov

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: y_popov@oparina4.ru
post-graduate student

Elena Khilkevich

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University

Email: e_khilkevich@oparina4.ru
leading researcher of General Surgery

Mihail Melnikov

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: m_melnikov@oparina4.ru
the senior research associate, the deputy on clinical work of General Surgery

Yevgeniya Kogan

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: e_kogan@oparina4.ru
MD. Prof. I Pathology Department

Taiana Demura

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: t_demura@oparina4.ru
PhD, MD, the senior research associate of First pathological department

Svetlana Askolskaya

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: s_askolskaya@oparina4.ru
leading researcher of General Surgery

Aleksandr Veredchenko

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a_veredchenko@oparina4.ru
candidate of medical sciences, doctor surgeon of General Surgery

Elena Kulabukhova

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: e_kulabuhova@oparina4.ru
radiotherapist of unit of X-ray radiological diagnostics

Aleksander Gus

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a_gus@oparina4.ru
PhD, Head of the Department of Functional Diagnosis

Bibliografia

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  3. Gunkova P., Martinek L., Dostalik J., Gunka I., Vavra P., Mazur M. Laparoscopic approach to retrorectal cyst. World J. Gastroenterol. 2008; 14(42): 6581-3.
  4. Tampi C., Lotwala V., Lakdawala M., Coelho K. Retrorectal cyst hamartoma (tailgut cyst) with malignant transformation. Gynecol. Oncol. 2007; 105(1): 266-8.
  5. Zoller S., Joos A., Dinter D., Back W., Horisberger K., Post S., Palma P. Retrorectal tumors: excision by transanal endoscopic microsurgery. Rev. Esp. Enferm. Dig. 2007; 99(9): 547-50.
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  7. Woodfield J.C., Chalmers A.G., Phillips N., Sagar P.M. Algorithms for the surgical management of retrorectal tumours. Br. J. Surg. 2008; 95(2): 214-21.
  8. Garcia-Donas J., Rodriguez N., Jara C., Urioste M., Nevado M., Canamero M. et al. Retrorectal cystic hamartoma as benign cause of CA 19-9 elevation. J. Clin. Oncol. 2007; 25(25): 4012-4.
  9. Ipekci E., Yildirim M., Sahin T., Postaci H. Retrorectal cyst-hamartoma: a case report. Acta Chir. Belg. 2008; 108(6): 759-60.
  10. Peter P., George U., Peacock M. Retrorectal hamartoma: A “tail” of two cysts! Indian J. Radiol. Imaging. 2010; 20(2): 129-31.

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