Locally advanced rectal cancer with a pelvic kidney complicating adjuvant radiation therapy.
The simultaneous occurrence of colorectal malignancy with pelvic kidney is unusual. We report a case of locally advanced rectal cancer stage III disease, T3N2M0, with a pelvic kidney complicating adjuvant radiation therapy. We recommend preoperative evaluation of the pelvic kidney to allow for its protection by translocation or heterotopic autologous transplantation. Occasionally a nephrectomy may be necessary. Otherwise extended lymph node dissection is not performed; hence, adequate treatment of the primary rectal cancer is compromised. The sequela of inadequate surgical excision and suboptimal radiation therapy is early relapse.
Bokhari
M B
MB
Department of Surgery, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown 26506, USA.
Hostetter
R B
RB
Auber
M L
ML
Ulewicz
D E
DE
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000628:therapy*; D017024:Chemotherapy, Adjuvant; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010388:Pelvis; D011859:Radiography; D018714:Radiotherapy, Adjuvant; D012004:Rectal Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D012007:Rectum / Q000601:surgery