Early distant relapse after optimal local control in locally advanced rectal cancer

Javier Gallego-Plazas¹ , Francisco Menarguez-Pina² , Natividad Martinez-Banaclocha¹ , Vanesa Pons-Sanz¹ , Fernando Mingol-Navarro³ , Jose A Ruiz-Macia⁴ and Sonia Macia-Escalante¹

¹Servicio de Oncología Médica, Hospital General Universitario de Elche, Elche, Alicante. Spain

²Servicios de Cirugía, Hospital Vega Baja, Orihuela, Alicante, Spain

³y Cirugía, Hospital General Universitario de Elche, Elche, Alicante, Spain

⁴y Anatomía Patológica, Hospital Vega Baja, Orihuela, Alicante, Spain

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International Seminars in Surgical Oncology 2008, 5:18doi:10.1186/1477-7800-5-18


Published:	14 July 2008

Abstract

We present a case of locally advanced rectal cancer with initial optimal local control after neoadjuvant concurrent chemoradiotherapy followed by surgery; early liver recurrence then occurred and was treated again with curative intent with neoadjuvant combination chemotherapy followed by liver surgery. We reflect on this difficult problem and discuss relevant topics to this case report.