title: [CT-guided radiofrequency ablation therapy for pelvic recurrence from rectal carcinoma--a case report].
abstract: A 48-year-old man, who had undergone a low anterior resection for advanced lower rectal cancer on May 27, 2003, was admitted to our hospital with anastomosis recurrence in November 2004. After chemo-radiotherapy (5-FU 250 mg/ body continuous infusion, 5 Gy each 5 fragments), an abdomino-perineal resection was performed on December 1, 2004. A follow-up CT scan showed pelvic local recurrences located dorsal to prostate in January, and the presacral region in July 2006. Because of presence of complication of acute promyelocytic leukemia (APL), this patient had a poor general condition. So radiofrequency ablation (RFA) therapy was performed as a palliative therapy. A presacral relapse was revealed in three months after RFA. As a complication, two weeks after RFA for the presacral region, a vesicoctaneous fistula occurred, and it required a urinary diversion. He died of APL on August 27, 2007. CT-guided radiofrequency ablation is useful for pelvic recurrence from rectal cancer of poor-risk patient.
authors.affiliation: Dept. of Surgery, Tokyo Metropolitan Komagome Hospital.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Nakano
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsumoto
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Yamaguchi
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Iwasaki
authors.forename: Manabu
authors.initials: M
authors.lastname: Ohashi
authors.forename: Souya
authors.initials: S
authors.lastname: Nunobe
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Iwanaga
authors.forename: Keiichi
authors.initials: K
authors.lastname: Takahashi
authors.forename: Takeo
authors.initials: T
authors.lastname: Mori
mesh_terms: D014408:Biomarkers, Tumor / Q000097:blood; D017115:Catheter Ablation; D003131:Combined Modality Therapy; D006801:Humans; D015473:Leukemia, Promyelocytic, Acute / Q000150:complications / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery*; D012004:Rectal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure
chemical_list: D014408:Biomarkers, Tumor