title: Locally advanced rectal cancer with a pelvic kidney complicating adjuvant radiation therapy.
abstract: 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.
authors.affiliation: Department of Surgery, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, Morgantown 26506, USA.
authors.forename: M B
authors.initials: MB
authors.lastname: Bokhari
authors.forename: R B
authors.initials: RB
authors.lastname: Hostetter
authors.forename: M L
authors.initials: ML
authors.lastname: Auber
authors.forename: D E
authors.initials: DE
authors.lastname: Ulewicz
mesh_terms: 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