title: [A case of long-term disease free survival after three surgical resections for local recurrence and lung metastases from rectal cancer].
abstract: Six years ago, a 67-year-old-man underwent Mile's operation for rectal cancer. He complained of lower back pain in 1999, and was diagnosed with local recurrence from rectal cancer. The tumor invaded to the bladder, prostate, internal obturator muscle, and the piriform muscle. We performed a total pelvic resection and systemic chemotherapy with low-dose 5-fluorouracil/cisplatin. Since lung metastases were pointed in 2001, he received chemotherapy consisted of irinotecan and 5'-DFUR for 1 year, and a partial resection for lung metastasis was performed in 2002. After a partial resection for subsequent lung metastasis occurred in 2003, he has survived more than 5 years. A surgical resection is an effective treatment for a localized recurrence from colorectal cancer.
authors.affiliation: Dept. of Digestive Surgery and Surgical Oncology (Surgery II), Yamaguchi University Graduate School of Medicine.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Nakatsu
authors.forename: Shyouichi
authors.initials: S
authors.lastname: Hazama
authors.forename: Masaaki
authors.initials: M
authors.lastname: Oka
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D014408:Biomarkers, Tumor / Q000097:blood; D018572:Disease-Free Survival; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000097:blood / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D012004:Rectal Neoplasms / Q000097:blood / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed
chemical_list: D014408:Biomarkers, Tumor