title: [A case of curative resection of local recurrence after abdominosacral resection of recurrent rectal cancer based on the diagnosis of PET/CT fusion images].
abstract: A 76-year-old male with local recurrence after abdominosacral resection of recurrent rectal cancer was admitted to our hospital. Computed tomography (CT) and magnetic resonance imaging (MRI) indicated a recurrent tumor at the back of the prostate and seminal vesicles up to the resected sacral (S3) stump. However, positron emission tomography (PET)/CT fusion images showed no 18F-2-fluoro-2-deoxy-D-glucose (FDG) uptake at the pre-sacral region, which suggested postoperative scarring of the tissue. Based on the PET/CT diagnosis, we performed abdominoperineal en bloc resection of the recurrent tumor with bladder, seminal vesicles, prostate, internal obturator muscle, ischial spine, and gluteal muscle without resection of the sacrum. Specimen revealed no circumferential resection margin involvement by tumor on pathologic examination. The patient was discharged from the hospital on postoperative day 23 without major complications.
authors: Dept. of Surgery and Clinical Oncology, Osaka University, Graduate School of Medicine.
authors: Masayuki
authors: M
authors: Ohue
authors: Mitsugu
authors: M
authors: Sekimoto
authors: Hiroki
authors: H
authors: Fukunaga
authors: Masakazu
authors: M
authors: Ikenaga
authors: Hirofumi
authors: H
authors: Yamamoto
authors: Masataka
authors: M
authors: Ikeda
authors: Masayoshi
authors: M
authors: Yasui
authors: Hiroshi
authors: H
authors: Takayama
authors: Yasushi
authors: Y
authors: Hata
authors: Kotaro
authors: K
authors: Kitani
authors: Yousuke
authors: Y
authors: Seki
authors: Yujiro
authors: Y
authors: Hujie
authors: Ichiro
authors: I
authors: Higuchi
authors: Morito
authors: M
authors: Monden
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005462:Fluorine Radioisotopes; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000601:surgery*; D019275:Radiopharmaceuticals; D012004:Rectal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D012445:Sacrococcygeal Region / Q000601:surgery; D012680:Sensitivity and Specificity; D014055:Tomography, Emission-Computed; D014057:Tomography, X-Ray Computed
chemical_list: D005462:Fluorine Radioisotopes; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18