Primary presacral adenocarcinoma: a case report and review of the literature.

AbstractPrimary presacral adenocarcinoma is a rare presacral lesion. We report a 36-year-old male patient with primary presacral adenocarcinoma. The patient presented with a six-month history of sacrococcygeal pain. MRI demonstrated a 4 x 3 cm2, well-defined presacral mass. He underwent a parasacrococcygeal procedure with complete resection of the tumor, which subsequent histology showed adenocarcinoma. At 15 months follow-up, he remains disease free.