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Sacral Area  
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Definition  

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 is rare but can be cancerous.

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Causes  

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
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Risk Factors  

Women are more likely to develop this type of tumor.

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Symptoms  

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
  • Constipation
  • Incontinence
  • Weight loss
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Diagnosis  

Your doctor will ask 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.

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Treatment  

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.
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Prevention  

There are no steps to prevent this condition.