[A case of local recurrence of rectal cancer in which trans-sacral resection and perineal reconstruction by femoral posterior flap were performed].
A 54-year-old woman underwent abdomino-perineal resection for rectal cancer. Six months after surgery, perineal pain and the tumor marker increased. Local recurrence of the pelvic cavity and lung metastases were diagnosed by computed tomography (CT) and positoron emission tomography (PET) using 18F-fluorodeoxygulucose (FDG). Local perineal pain continued and there was no increase in the neoplastic lesion of the lung, so surgical treatment was performed. After partial resection of the lung, local resection of the gluteus maximus and posterior wall of the vagina was performed with the patient in the Jack-knife position. To fill the defect, a femoral posterior flap was made and the perineal defect was reconstructed.
Ikenaga
Masakazu
M
Dept. of Surgery and Clinical Oncology, Graduate School of Medicine, Osaka University.
Sekimoto
Mitsugu
M
Ohue
Masayuki
M
Yamamoto
Hirofumi
H
Ikeda
Masataka
M
Fukunaga
Hiroki
H
Nakai
Kunihiro
K
Yano
Kenji
K
Hosokawa
Kou
K
Monden
Morito
M
D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000601:surgery*; D010502:Perineum / Q000601:surgery*; D019275:Radiopharmaceuticals; D019651:Plastic Surgery Procedures / Q000379:methods*; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D014055:Tomography, Emission-Computed; D014057:Tomography, X-Ray Computed; D014621:Vagina / Q000601:surgery
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18