Presacral Tumors

Abstract

The presacral or retrorectal space may be the site of a group of heterogeneous, and rare tumors that are often indolent and produce ill-defined symptoms. Because detection is often difficult and delayed, patients frequently present with tumors that have reached considerable size and involve multiple organ systems, complicating their treatment. The diagnosis and management of these tumors has evolved in recent years because of improved imaging modalities, a better understanding of tumor biology, adjuvant chemoradiation therapy, and a more aggressive surgical approach. Few surgeons have the opportunity to treat these complex lesions, and the care of these patients can be greatly optimized by an experienced, multidisciplinary team.