title: [A patient continued anti-cancer treatment because of effective colostomy against pain with defecation by local recurrence of rectal cancer].
abstract: A 60-year-old woman underwent a low anterior resection advanced rectal adenocarcinoma(Stage III a). Despite adjuvant therapy, liver metastasis and local recurrence appeared. Chemotherapy and radiotherapy were performed, nevertheless, the medical condition progressed, and pain with defecation by local recurrence appeared. The pain became resistant to the treatment due to non-opioid and opioid analgesics, and her quality of life(QOL)was gradually reduced. Transverse colostomy was performed as a palliative surgery to eliminate any contact stimulations during defecation. After surgery, pain improved, analgesics were no longer needed, and anti-cancer therapy was resumed. Palliative surgery should be considered for cancer pain resistant to drug therapy, if the trigger factors of pain can be expected to be removed.
authors.affiliation: Dept. of Surgery, Mihara Medical Associations Hospital, Japan.
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Sasada
authors.forename: Kei
authors.initials: K
authors.lastname: Ukon
authors.forename: Yukio
authors.initials: Y
authors.lastname: Sato
mesh_terms: D003125:Colostomy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D010166:Palliative Care; D012004:Rectal Neoplasms / Q000150:complications / Q000601:surgery*; D012008:Recurrence