ABSTRACT
ABSTRACT Presacral tumors are rare lesions of the retrorectal space that can present diagnostic and therapeutic difficulty because of their anatomic location and the different tissue types and etiology. Although the diagnosis and management of these tumors has evolved in recent years, several points still to be addressed in order to improve perioperative diagnosis and treatment. In the upcoming we will try to highlight some controversial points; the pre-operative biopsies, neoadjuvant therapy, the necessity of surgery and the role of minimally invasive surgeries of presacral tumors.
RESUMO Tumores pré-sacrais são lesões raras do espaço retrorretal que podem trazer dificuldades diagnósticas e terapêuticas por causa de sua localização anatômica e também pelos diferentes tipos de tecidos e etiologia. Embora nos últimos anos o diagnóstico e tratamento desses tumores tenham evoluído, diversos pontos ainda devem ser estudados com vistas à melhora do diagnóstico e tratamento no perioperatório. Mais adiante, tentaremos esclarecer alguns pontos controversos; biópsias pré-operatórias, terapia neoadjuvante, a necessidade de cirurgia e o papel das cirurgias minimamente invasivas para os tumores pré-sacrais.
Subject(s)
Humans , Sacrococcygeal Region/abnormalities , Sacrococcygeal Region/pathology , Biopsy , Minimally Invasive Surgical Procedures , Neoadjuvant Therapy , Preoperative PeriodABSTRACT
Colo-bronchial fistulae due to colon cancer are extremely rare fistula and severe pneumonia in a patient with advanced and associated with significant morbidity and mortality. The colorectal cancer. The aim is to add conservative therapy as treatment is surgical. We describe a case of colo-bronchial an option in cases with poor prognosis