One studies the structure of the Rees algebra of an almost complete intersection monomial ideal of finite co-length in a polynomial ring over a field, assuming that the least pure powers of the variables contained in the ideal have the same degree. It is shown that the Rees algebra has a natural quasi-homogeneous structure and its presentation ideal is generated by explicit Sylvester forms. A consequence of these results is a proof that the Rees algebra is almost Cohen-Macaulay, thus answering affirmatively an important case of a conjecture of W. Vasconcelos.