ADENOCARCINOMA IN A TAIL GUT CYST: A RARE CASE PRESENTATION

Aftab S Shaikh; Girish D Bakhshi; Arshad S Khan; Amarjeet E Tandur; Dhiraj Patil; Nilofar M Jamadar

Volume : VI, Issue : XII, December - 2017

ADENOCARCINOMA IN A TAIL GUT CYST: A RARE CASE PRESENTATION

Aftab S Shaikh, Girish D Bakhshi, Arshad S Khan, Amarjeet E Tandur, Dhiraj Patil, Nilofar M Jamadar

Abstract :

Tailgut cysts (TGC) are rare congenital benign lesions that occur in children and adults in retrorectal space and represent emyonal remnants of postnatal gut. Adenocarcinoma in a tailgut cyst is rare and less than 20 cases have been reported in English literature. Diagnosis is usually delayed because of non specific symptoms, and is made after biopsy or surgery. We present a case of adenocarcinoma in tailgut cyst which mimicked like sacrococcygeal teratoma in a 34 yr old male patient who presented with complaints of swelling over sacral region since childhood. His FNAC was s/o saccrococcygeal teratoma but after excision of mass via abdominal and perineal route histopathology was s/o adenocarcinoma in a tail gut cyst. Patient received chemotherapy post operatively and was monitored for recurrence with CEA and CA19-9 levels.12 months follow up post chemotherapy is uneventful.