title: Extended external hemipelvectomy for sigmoid adenocarcinoma treatment.
abstract: Surgery is the most effective way of treating a locally advanced colorectal carcinoma and an extended en bloc resection is necessary to achieve the best overall survival rate. In this rare case, a multi-visceral resection was performed along with the entire lower left limb and left iliac bone for a sigmoid carcinoma. The T4N0M0 (B3) tumor involved the left iliac vessels, left pelvic wall, small bowel and both rectus muscles, besides presenting with a skin fistula. A Hartmann colostomy was also performed. Chemotherapy was interrupted because of toxicity. The patient is free of disease after 38 months. There are very few cases that describe an extended hemipelvectomy as part of a colorectal carcinoma treatment.
authors.affiliation: Santa Casa de Piracicaba, São Paulo, Brazil. rodkix@bol.com.br
authors.forename: Rodrigo Ribas Dias dos
authors.initials: RR
authors.lastname: Reis
authors.forename: Luciane
authors.initials: L
authors.lastname: Schiavinatto
authors.forename: Mário Luis
authors.initials: ML
authors.lastname: Telles
authors.forename: Adriana Eliza Brasil
authors.initials: AE
authors.lastname: Moreira
authors.forename: João Paulo Aguiar Jordão
authors.initials: JP
authors.lastname: Mainardi
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D006801:Humans; D008297:Male; D010385:Pelvic Exenteration / Q000379:methods*; D012811:Sigmoid Neoplasms / Q000601:surgery*