by Michael Jubinville, MPH
The presacral space is the area between the rectum and lowest part of the spine. It's called the sacrum. A tumor is a growth in this area. The tumor can range from a cyst to a mass that invades nearby structures. It can be cancerous, but this is rare.
A presacral tumor may be caused by:
Presacral tumors are more common in women.
You may not have any problems. In those that have them, symptoms may cause:
The doctor will ask about your symptoms and health history. A physical exam will be done, which includes a digital rectal exam. The doctor will feel for lumps with a lubricated, gloved finger in the rectum. You may also have:
Treatment depends on the type of tumor. Options may include:
There is no way to prevent a presacral tumor since the cause is unknown.
America Cancer Society
American Society of Colon and Rectal Surgeons
Canadian Cancer Society
Colorectal Cancer Canada
Hassan I, Wietfeldt ED. Presacral tumors: diagnosis and management. Clin Colon Rectal Surg. 2009;22(2):84-93.
Pappalardo G, Frattaroli FM, Casciani E, et al. Retrorectal tumors: the choice of surgical approach based on a new classification. Am Surg. 2009;75(3):240-248.
Presacral tumors. USCF Center for Colorectal Surgery website. Available at: https://colorectal.surgery.ucsf.edu/conditions--procedures/presacral-tumors.aspx. Accessed January 29, 2021.
Last reviewed September 2020 by EBSCO Medical Review Board Mohei Abouzied, MD, FACP
Last Updated: 1/29/2021
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.