The presacral space is the area between the rectum and lowest part of your spine, called the sacrum. A tumor is a growth in this area. The tumor can range from a cyst to a mass that invades pelvic structures. It can be cancerous but this is rare.
A presacral tumor may be caused by:
- Factors that are present from birth
- Hereditary disorders like Currarino syndrome
- Cancer of the connective tissue
- Other forms of cancer that have spread
Women are more likely to develop this type of tumor.
In some cases, there are no symptoms. If symptoms do occur, they may include:
- Pain in the lower back or rectal/pelvic area
- Pain that spreads to the lower extremities
- A feeling of heaviness
- Unintented weight loss
You will be asked about your symptoms and medical history. A physical exam will be done, as well as a digital rectal exam.
Images of your bodily structures may be taken. This can be done with:
Your bodily tissues may be tested. This can be done with biopsy.
Talk with your doctor about the best treatment plan for you. This will depend on the type of tumor you have. Treatment options include:
- Surgery to remove the tumor
- Chemotherapy —If the tumor is cancerous, chemotherapy may be used. This involves using drugs to kill cancer cells.
- Radiation therapy—This may be used along with chemotherapy. Radiation therapy involves using radiation to kill cancer cells and to shrink tumors.
There are no current guidelines to prevent a presacral tumor.
America Cancer Society
American Society of Colon and Rectal Surgeons
Canadian Cancer Society
Colorectal Cancer Association of Canada
Coco C, Manno A, Mattana C, et al. Congenital tumors of the retrorectal space in the adult: report of two cases and review of the literature. Tumori. 2008;94(4):602-607.
Pappalardo G, Frattaroli FM, Casciani E, et al. Retrorectal tumors: the choice of surgical approach based on a new classification. Am Surg. 2009;75(3):240-248.
Last reviewed May 2016 by Mohei Abouzied, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.