Applying Retrorectal Oncologic Tumor Dissection Planes to a Pelvic Tailgut Cyst

A 33-year-old woman presented with abnormal bleeding and vaginal discomfort. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a multilocular cystic lesion on the anterior surface of the sacrum and coccyx. The cyst was generally homogeneous, and no obvious bone infiltration was observed. Tailgut cyst was suspected preoperatively. Surgery was performed using only a retroperitoneal approach, and the mass was excised with the right obturator cavity and prevesical space open. No postoperative complications occurred. In treating tailgut cysts, retroperitoneal resection alone can be viewed as a procedure that should be actively adopted owing to its ease of procedure.

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Publication Details

Journal
The American Surgeon
Published
2026-09-21
DOI
https://doi.org/10.1177/00031348261491657
Primary Topic
Teratomas and Epidermoid Cysts
Type
article
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article

Applying Retrorectal Oncologic Tumor Dissection Planes to a Pelvic Tailgut Cyst

Kazunari Misawa, Tetsuya Abe, Takayoshi Kishida, Hironori Yamada et al.
The American Surgeon
Teratomas and Epidermoid Cysts
article

Applying Retrorectal Oncologic Tumor Dissection Planes to a Pelvic Tailgut Cyst

Kazunari Misawa, Tetsuya Abe, Takayoshi Kishida, Hironori Yamada, Masataka Okuno, Junpei Yamaguchi, Shuichiro Ando, Hiroto Suzuki, Takahiro Hosoi, Ritsuki Takaha, Eiji Higaki, Koji Komori, Seiji Ito, Yuichi Ito, Akira Ouchi, Kosuke Inada, Takuya Kitahara, Hironobu Yasuoka, M Negita, Kotaro Ozaki, Takashi Kinoshita, Masato Yamamoto
article en

Abstract

A 33-year-old woman presented with abnormal bleeding and vaginal discomfort. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a multilocular cystic lesion on the anterior surface of the sacrum and coccyx. The cyst was generally homogeneous, and no obvious bone infiltration was observed. Tailgut cyst was suspected preoperatively. Surgery was performed using only a retroperitoneal approach, and the mass was excised with the right obturator cavity and prevesical space open. No postoperative complications occurred. In treating tailgut cysts, retroperitoneal resection alone can be viewed as a procedure that should be actively adopted owing to its ease of procedure.

The American Surgeon
Aichi Cancer Center (JP)
Good health and well-being
Openalex Percentile: Top 8%
Teratomas and Epidermoid Cysts
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Applying Retrorectal Oncologic Tumor Dissection Planes to a Pelvic Tailgut Cyst — Kazunari Misawa, Tetsuya Abe, et al. · The American Surgeon (2026) | TGRS Research Map | TGRS