Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Oncol. Oct 24, 2022; 13(10): 853-860
Published online Oct 24, 2022. doi: 10.5306/wjco.v13.i10.853
Mucinous adenocarcinoma arising from a tailgut cyst: A case report
Petra Malliou, Antonia Syrnioti, Triantafyllia Koletsa, Eleni Karlafti, Anestis Karakatsanis, Georgia Raptou, Stylianos Apostolidis, Antonios Michalopoulos, Daniel Paramythiotis
Petra Malliou, Anestis Karakatsanis, Stylianos Apostolidis, Antonios Michalopoulos, Daniel Paramythiotis, The First Propaedeutic Surgery Department, AHEPA University General Hospital of Thessaloniki, Thessaloniki 54636, Greece
Antonia Syrnioti, Triantafyllia Koletsa, Georgia Raptou, Department of Pathology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki 54636, Greece
Eleni Karlafti, Department of Emergency, AHEPA University Hospital, Thessaloniki 54636, Greece
Author contributions: Malliou P, Apostolidis S, Michalopoulos A, and Paramythiotis D were the patient’s surgeons, and reviewed the literature and contributed to manuscript drafting; Karlafti E reviewed the literature and contributed to manuscript drafting; Syrnioti A, Koletsa, and Raptou G performed the microscopic examination and contributed to manuscript drafting; all authors were responsible for the manuscript's revision for important intellectual content and issued final approval for this version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Petra Malliou, MD, Doctor, The First Propaedeutic Surgery Department, AHEPA University General Hospital of Thessaloniki, Stilponos Kyriakidi 1, Thessaloniki 54636, Greece. malliou_petra@yahoo.gr
Received: April 11, 2022
Peer-review started: April 11, 2022
First decision: May 31, 2022
Revised: June 12, 2022
Accepted: October 11, 2022
Article in press: October 11, 2022
Published online: October 24, 2022
Core Tip

Core Tip: Retrorectal hamartomas or tailgut cysts are extremely rare. In certain cases, they undergo malignant transformation, predominantly in the form of adenocarcinomas. Mucinous adenocarcinomas are rare forms of carcinoma arising from tailgut cysts, with only 18 cases reported in the literature from 1988 to 2021. Furthermore, to our knowledge, coexistence of a pilonidal tract and mucinous adenocarcinoma is extremely rare; this being the second reported case in the literature. We present the case of a 55-year-old woman with a large pelvic mass on the right of the ischiorectal fossa and a pilonidal cyst. Surgical resection of the tumour and cyst was completed and the patient recovered well.