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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A presacral tumor may be caused by:
Women are more likely to develop this type of tumor.
In some cases, there are no symptoms. If symptoms do occur, they may include:
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.
Talk with your doctor about the best treatment plan for you. This will depend on the type of tumor you have. Treatment options include:
There are no steps to prevent this condition.
America Cancer Society
American Society of Colon and Rectal Surgeons
Canadian Cancer Society
Colorectal Cancer Association of Canada
Coco C, Manno A, Mattana C, et al. Congenital tumors of the retrorectal space in the adult: report of two cases and review of the literature. Tumori. 2009;94:602-607.
Colorectal cancer. EBSCO DynaMed website. Available at:
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Updated July 25, 2013. Accessed July 30, 2013.
Pappalardo G, Frattaroli FM, Casciani E, et al. Retrorectal tumors: the choice of surgical approach based on a new classification. American Surgeon. 2009;75;3:240-248.
Last reviewed May 2014 by Mohei Abouzied, MD
Last Updated: 5/28/2014