title: Early distant relapse after optimal local control in locally advanced rectal cancer.
abstract: We present a case of locally advanced rectal cancer with initial optimal local control after neoadjuvant concurrent chemoradiotherapy followed by surgery; early liver recurrence then occurred and was treated again with curative intent with neoadjuvant combination chemotherapy followed by liver surgery. We reflect on this difficult problem and discuss relevant topics to this case report.
authors.affiliation: Servicio de Oncología Médica, Hospital General Universitario de Elche, Elche, Alicante, Spain. j.gallegoplazas@gmail.com.
authors.forename: Javier
authors.initials: J
authors.lastname: Gallego-Plazas
authors.forename: Francisco
authors.initials: F
authors.lastname: Menarguez-Pina
authors.forename: Natividad
authors.initials: N
authors.lastname: Martinez-Banaclocha
authors.forename: Vanesa
authors.initials: V
authors.lastname: Pons-Sanz
authors.forename: Fernando
authors.initials: F
authors.lastname: Mingol-Navarro
authors.forename: Jose A
authors.initials: JA
authors.lastname: Ruiz-Macia
authors.forename: Sonia
authors.initials: S
authors.lastname: Macia-Escalante