An enlarging ischiorectal mass
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A 74-year-old man presented with a 6-month history of a slowly enlarging mass in his right gluteal area. His history includes a partial right nephrectomy for renal clear cell carcinoma 13 years before this visit. Colonoscopy performed 6 months earlier did not identify any abnormalities. He appeared well-nourished, and physical examination revealed a 20 cm diameter soft, freely movable, right-sided ischiorectal mass without any obvious communication with the rectum or anus.

Magnetic resonance imaging showed a vertically oriented dumbbell-shaped, predominantly T2 hyperintense and T1 hypointense mass measuring 16 cm in length and 6 cm in diameter. The mass was displacing, but not invading, the pelvic floor to the right of the midline and appeared well-defined except for a small portion of the mass that seemed inseparable but not invading the posterior aspect of the right inferior pubis ramus and the levator ani. Computed tomography-guided biopsy showed paucicellular myxoid lesion. Immunostaining expressed desmin, CD34, and estrogen receptors; no histological features of malignancy were seen.

Read more : https://www.surgjournal.com/article/S0039-6060(21)00183-5/fulltext?rss=yes
Like
Comment
Share