Prerectal mucinous cystadenoma. A case report and considerations about its origin

  • Jaime Zuloaga
  • Javier Arias-Diaz Department of Surgery, Complutense University of Madrid, School of Medicine, Instituto de Investigación Sanitaria Hospital Clinico San Carlos, Madrid, Spain
  • Maria Jesus Fernandez-Aceñero Dept. of Pahology, Complutense University of Madrid, Instituto de Investigación Sanitaria Hospital Clínico San Carlos,
  • Cristina Diaz-del-Arco
  • Julio Mayol
  • Antonio Torres
Keywords: Mucinous cystadenoma, Tailgut cyst, Cysts/pathology, Rectal Diseases/pathology, Rectal Diseases/surgery

Abstract

Mucinous cystadenoma is a generic denomination usually applied to cystic formations filled with mucinous content and showing signs of epithelial proliferation. They usually arise in ovaries, pancreas and appendix, but there have been occasional reports in many other locations. Most retroperitoneal and mesenteric mucinous cystadenomas have affected women, and a potential müllerian origin has been postulated, although for most of them their histogenesis remains uncertain. Some cases have shown malignant behavior. We herein describe a case of mucinous cystadenoma affecting a young man with an unusual prerectal location. An exhaustive study was performed as a basis for the discussion of possible origins for this tumor. This lesion showed premalignant proliferative changes, suggesting an early stage in a potential malignant transformation. DOI: 10.21276/APALM.1453

Author Biography

Javier Arias-Diaz, Department of Surgery, Complutense University of Madrid, School of Medicine, Instituto de Investigación Sanitaria Hospital Clinico San Carlos, Madrid, Spain
Full Professor of Surgery, Department of Surgery, Complutense University of Madrid, School of Medicine, Madrid, Spain

References

1 Tapper EB, Shrewsberry AB, Oprea G, Majmudar B. A unique benign mucinous cystadenoma of the retroperitoneum: a case report and review of the literature. Arch Gynecol Obstet. 2010;281:167-169.

2 Subramony C, Habibpour S, Hashimoto LA. Retroperitoneal mucinous cystadenoma. Arch Pathol Lab Med. 2001;125:691-694.

3 Isse K, Harada K, Suzuki Y, et al. Retroperitoneal mucinous cystadenoma: report of two cases and review of the literature. Pathol Int. 2004;54:132-138.

4 Brown J, Frumovitz M. Mucinous tumors of the ovary: current thoughts on diagnosis and management. Curr Oncol Rep. 2014;16:389.

5 Jang SH, Jang KS, Song YS, et al. Unusual prerectal location of a tailgut cyst: a case report. World J Gastroenterol. 2006;12:5081-5083.

6 Demirel D, Gun I, Kucukodaci Z, Balta AZ, Ramzy I. Primary retroperitoneal mucinous cystadenoma with a sarcoma-like mural nodule: an immunohistochemical study with histogenetic considerations and literature review. Int J Gynecol Pathol. 2013;32:15-25.

7 Aumuller G, Riva A. Morphology and functions of the human seminal vesicle. Andrologia. 1992;24:183-196.

8 Hjermstad BM, Helwig EB. Tailgut cysts. Report of 53 cases. Am J Clin Pathol. 1988;89:139-147.

9 Mathis KL, Dozois EJ, Grewal MS, Metzger P, Larson DW, Devine RM. Malignant risk and surgical outcomes of presacral tailgut cysts. Br J Surg. 2010;97:575-579.

10 Au E, Anderson O, Morgan B, Alarcon L, George ML. Tailgut cysts: report of two cases. Int J Colorectal Dis. 2009;24:345-350.
Published
2017-08-26
Section
Case Report