open access publication

Article, 2024

Large retrorectal spindle cell sarcoma: A case report and brief review of the literature

Radiology Case Reports, ISSN 1930-0433, Volume 19, 7, Pages 2684-2688, 10.1016/j.radcr.2024.03.059

Contributors

Petersen, Christian Lund 0000-0003-1827-9516 (Corresponding author) [1] Byriel, Mathias Rosenfeldt [1] [2] Shkurti, Jona 0009-0001-3592-6079 [3] Rafaelsen, Søren Rafael 0000-0001-5182-5545 [1] [2]

Affiliations

  1. [1] Odense University Hospital
  2. [NORA names: Region of Southern Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD];
  3. [2] University of Southern Denmark
  4. [NORA names: SDU University of Southern Denmark; University; Denmark; Europe, EU; Nordic; OECD];
  5. [3] Antoni van Leeuwenhoek Hospital
  6. [NORA names: Netherlands; Europe, EU; OECD]

Abstract

Large retrorectal tumors are rare and often a diagnostic and surgical challenge due to their anatomical location. We report the case of a 55-year-old patient with weight loss and changed bowel habits, where digital rectal examination revealed a retrorectal mass raising suspicion of a tumor. Magnetic resonance imaging (MRI) and computed tomography (CT) showed a large retrorectal tumor and histopathology after surgical resection showed undifferentiated spindle cell sarcoma. This tumor type has not been previously reported as the etiology of large retrorectal tumors. We discuss the implications of diagnostic imaging, especially MRI, in the approach to diagnosis and surgical treatment of retrorectal tumors with reference to the scientific literature and previously reported cases of retrorectal tumors.

Keywords

anatomical location, bowel habits, case report, cases, cell sarcoma, challenges, changed bowel habits, computed tomography, diagnosis, diagnostic imaging, digital rectal examination, etiology, examination, habits, histopathology, images, literature, location, loss, magnetic resonance imaging, patients, rectal examination, reports, resection, resonance imaging, retrorectal tumors, review, sarcoma, scientific literature, spindle cell sarcoma, surgical challenge, surgical resection, surgical treatment, suspicion, tomography, treatment of retrorectal tumours, tumor, tumor types, type, undifferentiated spindle cell sarcoma, weight, weight loss

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