Pre-sacral tumors

Amit Merchea, Eric J. Dozois

Research output: Chapter in Book/Report/Conference proceedingChapter


Presacral, or retrorectal, tumors are rare and often go unnoticed. A high index of suspicion and a certain degree of clinical acumen are required to identify these lesions. A general risk of malignant transformation necessitates a recommendation for surgical management. In those patients with solid or heterogeneous tumors, we highly recommended pre-operative percutaneous biopsy to rule out malignancy, guide neoadjuvant treatment, and plan for the extent of resection. Purely cystic lesions can most often proceed directly to resection. These tumors are best evaluated and treated by an experienced multidisciplinary team.

Original languageEnglish (US)
Title of host publicationPelvic Cancer Surgery
Subtitle of host publicationModern Breakthroughs and Future Advances
PublisherSpringer-Verlag London Ltd
Number of pages8
ISBN (Electronic)9781447142584
ISBN (Print)9781447142577
StatePublished - Jan 1 2015


  • Pelvic tumor
  • Preoperative biopsy
  • Presacral tumor
  • Retrorectal tumor

ASJC Scopus subject areas

  • General Medicine


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