Pre-sacral tumours in adults: report of three cases and review of the literature

ABSTRACT

Pre-sacral tumours are uncommonly encountered in adults. Three patients with benign sacral tumours presented to Jordan University Hospital one with a discharging buttock sinus, one after having an obstructed labour and the third one with continuous anal pain. Their diagnosis was unduly delayed for lack of consideration of the disease entity. All had previous attempts of surgical excision which had failed. All three patients had benign tumours, two teratomas and one neurofibroma. All had total excision of their pre-sacral tumours through a posterior trans-sacral approach with no ano-rectal dysfunction. One patient developed wound haemorrhage which was controlled by wound packing. The three patients are free of recurrence seven years, three years and six months after surgical excision. The incidence, clinicopathological presentation, diagnosis and management of presacral tumours have been reviewed