title: [A Case of Local Recurrence and Lung Metastasis from a Rectal Cancer Treated with Systemic Chemotherapy and Cyberknife].
abstract: A 73-year-old man underwent abdominoperineal resection for a rectal cancer. He developed a hip pain 3 years and 6 months after the surgery. A CT scan revealed a local recurrence in the perineum and multiple lung metastases in the bilateral lung. He received systemic chemotherapy consisting of XELOX with bevacizumab. Thereafter, the hip pain was slightly relieved. The hip pain worsened 1 year and 6 months after the recurrence. The border between the perineal tumor and skin was very narrow, and conventional radiation therapy could cause a perineal skin necrosis and subsequent poor wound healing. Therefore, we selected a Cyberknife treatment. The hip pain was relieved and a CT scan showed a reduction of the perineal tumor's size after the Cyberknife treatment. A Cyberknife treatment may be effective and promising as palliation for patients with local recurrence of rectal cancer.
authors.affiliation: Dept. of Gastroenterological Surgery, Aichi Medical University Hospital.
authors.forename: Tairin
authors.initials: T
authors.lastname: Uchino
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Mishima
authors.forename: Takaaki
authors.initials: T
authors.lastname: Osawa
authors.forename: Tatsuki
authors.initials: T
authors.lastname: Matsumura
authors.forename: Kenichi
authors.initials: K
authors.lastname: Komaya
authors.forename: Kengo
authors.initials: K
authors.lastname: Kimura
authors.forename: Keiichi
authors.initials: K
authors.lastname: Ando
authors.forename: Takuya
authors.initials: T
authors.lastname: Saito
authors.forename: Seiji
authors.initials: S
authors.lastname: Ishiguro
authors.forename: Norifumi
authors.initials: N
authors.lastname: Ohashi
authors.forename: Takashi
authors.initials: T
authors.lastname: Arikawa
authors.forename: Shunichiro
authors.initials: S
authors.lastname: Komatsu
authors.forename: Masahiko
authors.initials: M
authors.lastname: Miyachi
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Mizumatsu
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Sano
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary / Q000628:therapy*; D008297:Male; D010166:Palliative Care; D010534:Peritoneal Neoplasms / Q000556:secondary / Q000628:therapy*; D016634:Radiosurgery; D012004:Rectal Neoplasms / Q000473:pathology* / Q000628:therapy*; D012008:Recurrence