성인에서의 직장후방종양의 임상적 고찰: 증례 보고 및 문헌 고찰
Clinicopathological Features of Retrorectal Tumors in an Adult - A Case Report and Review of the Literatures -
권혜연, 손승국, 김남규, 민병소, 조장환, 허혁,
소속 상세정보
권혜연 ( Kwon Hye-Youn )
연세대학교 의과대학 외과학교실
손승국 ( Sohn Seung-Kook )
연세대학교 의과대학 외과학교실
김남규 ( Kim Nam-Kyu )
연세대학교 의과대학 외과학교실
민병소 ( Min Byung-Soh )
연세대학교 의과대학 외과학교실
조장환 ( Cho Jang-Hwan )
연세대학교 의과대학 외과학교실
허혁 ( Hur Hyuk )
연세대학교 의과대학 외과학교실
KMID : 0356720080240040292
Abstract
Retrorectal tumors are particularly rare among the adult population, occurring in 1 of 40,000 hospital admissions. Clinical diagnosis is difficult and is often delayed because of vague symptoms. This study aimed to investigate the clinicopathological features of retrorectal tumors. Between January 1999 and March 2005, 10 patients were diagnosed with retrorectal tumors at the Department of Surgery, Yonsei University Medical Center, and their medical records were reviewed. We analyzed chief complaints, imaging studies, surgical approaches and pathologic examinations. Out of 10 patients, 8 were female and 2 were male. The mean age was 42.8 years. Four patients had no symptoms. Perianal and abdominal pain were the most common presentations. CT and MRI were the most frequently performed imaging studies. Surgery was performed in 9 patients. Postoperative pathologic diagnosis was possible in 9 patients. An epidermal cyst was the most common tumor (4 patients); others included a mature teratoma, an adenocarcinoma from a tail gut cyst, a duplication cyst, a neurogenic tumor, and a smooth muscle cell tumor. Imaging techniques like CT scans, MRI and TRUS are helpful to determine the size and the extent of a tumor and its relationship to the surrounding anatomical structures for the operative approach. A surgical resection is the standard of treatment and demonstrates good results and a good prognosis. J Korean Soc Coloproctol 2008;24:292-297
키워드
직장후방종양;표피낭종;성숙기형종;미장낭종;복제낭종
Retrorectaltumor;Epidermalcyst;Matureteratoma;Tailgutcyst;Duplicationcyst
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