{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T04:58:13Z","timestamp":1764305893638},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Aufgrund pelviner Beschwerden wurde bei einer 52-j\u00e4hrigen Patientin eine diagnostische Schnittbildgebung initiiert. In dieser stellte sich eine zystische, retrorektale Raumforderung ohne Malignit\u00e4tskriterien dar. Aufgrund der Symptomatik und der unklaren Dignit\u00e4t nach mehrfachen frustranen endosonografischen Punktionen erfolgte nach interdisziplin\u00e4rer Beratung eine robotisch-assistierte lokale Resektion des zystischen Tumors. In der histologischen Aufarbeitung wurde die Diagnose einer Tailgut Zyste gesichert, jedoch lie\u00dfen sich auch Anteile eines intestinal differenzierten Adenokarzinoms nachweisen. Aufgrund des unklaren Metastasierungsverhaltens erfolgte eine Nachresektion in Form einer robotisch-assistierten tiefen anterioren Rektumresektion mit totaler mesorektaler Excision, analog zur Behandlung des Rektumkarzinoms. In der anschlie\u00dfenden histologischen Aufarbeitung waren keine Residuen oder Lymphknotenmetastasen des Karzinoms nachweisbar, sodass eine Nachsorge empfohlen wurde.<\/jats:p><jats:p>Retrorektale Tumore sind eine extrem seltene Entit\u00e4t. Weltweit sind bisher nur 28 F\u00e4lle eines intestinal differenzierten Karzinoms in einer Tailgut Zyste beschrieben worden. Da es in der Literatur keine klaren Empfehlungen bez\u00fcglich des diagnostischen oder therapeutischen Vorgehens gibt, m\u00f6chten wir anhand unserer Fallstudie einen m\u00f6glichen Algorithmus bei nachgewiesener retrorektaler Raumforderung diskutieren.<\/jats:p>","DOI":"10.1055\/a-1330-9194","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T13:48:37Z","timestamp":1626184117000},"page":"677-682","source":"Crossref","is-referenced-by-count":1,"title":["Zufallsbefund eines intestinal differenzierten Adenokarzinoms in\u00a0einer Tailgut Zyste nach robotisch-assistierter Resektion"],"prefix":"10.1055","volume":"59","author":[{"given":"Maria Andrea","family":"Willis","sequence":"additional","affiliation":[{"name":"Klinik- und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und\u00a0Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Bonn"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"Enderes","sequence":"additional","affiliation":[{"name":"Klinik- und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und\u00a0Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Bonn"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Exner","sequence":"additional","affiliation":[{"name":"Klinik- und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und\u00a0Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Bonn"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burkhard","family":"Stoffels","sequence":"additional","affiliation":[{"name":"Klinik- und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und\u00a0Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Bonn"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Verena","family":"Tischler","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Pathologie, 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Bonn"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim Oliver","family":"Vilz","sequence":"additional","affiliation":[{"name":"Klinik- und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und\u00a0Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Bonn"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,7,12]]},"reference":[{"key":"ref1","volume-title":"Normale und abnorme Entwicklung des Menschen","author":"I Bromann","year":"2013"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e919803","DOI":"10.12659\/MSM.919803","article-title":"Tailgut Cysts with Malignant Transformation: Features, Diagnosis, and Treatment","volume":"26","author":"F Liang","year":"2020","journal-title":"Med Sci Monit"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1007\/s10151-018-1781-6","article-title":"A systematic review of minimally invasive surgery for retrorectal 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