Late recurrence in a rectal cancer patient who underwent preoperative chemoradiotherapy followed by local excision: a case report.

Late recurrence in a rectal cancer patient who underwent preoperative chemoradiotherapy followed by local excision: a case report. Ann Coloproctol. 2020 May 15;: Authors: Han JS, Lim SB, Park JH, Hong YS Abstract Some patients who have undergone preoperative chemoradiotherapy (CRT) following surgery have been diagnosed with late recurrence more than 5 years after treatment, raising questions about the possible benefit extending surveillance beyond the recommended 5 years. In 2011, a 71-year-old male was diagnosed with T3N+ low-lying rectal cancer located 3 cm from the anal verge before undergoing long-course preoperative CRT. After CRT, the patient was re-examined and diagnosed with ycT1-2N0 lesion, so local excision(LE) was performed. The patient underwent intensive surveillance for up to 5 years, and no evidence of recurrence was found. At 74 months after surgery, the patient was hospitalized for a hematochezia, and local recurrence at the excision site and peritoneal seeding nodules were identified. Considering the late recurrence in this patient, it might be necessary to long-term follow-up beyond 5 years in patients with preoperative CRT followed by LE. PMID: 32674551 [PubMed - as supplied by publisher]
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research