Local Excision with Adjuvant Chemoradiation Therapy for Advanced Rectal Carcinoma

Yoshinaga Okugawa, Yasuhiro Inoue, Hideki Watanabe, Eiki Ojima, Minako Kobayashi^*, Chikao Miki and Masato Kusunoki*

Department of Gatrointestinal and Pediatric Surgery and
Department of Innovative Surgery and Surgical Techniques Development*,
Division of Reparative Medicine Institute of Life Science Mie University Graduate School of Medicine

Case: A 71-year-old man was admitted for lower rectal carcinoma. Transrectal ultrasonography showed invasion of the muscularis propia by the tumor. We performed preoperative chemoradiotherapy and confirmed down staging of the tumor. Local excision was performed, and the pathological examination revealed a complete response. We then administered adjuvant chemotherapy and confirmed the absence of recurrence 41 months after the local excision. Preoperative chemoradiotherapy followed by local excision may be a feasible choice of treatment in patients with advanced rectal carcinoma.

Key words
rectal carcinoma, local excision, chemoradiotherapy

Reprint requests
Masato Kusunoki Division of Reparative Medicine Institute of Life Science Mie University Graduate School of Medicine
2-174 Edobashi, Tsu, 514-8507 JAPAN

Accepted
May 31, 2006

To read the PDF file you will need Abobe Reader installed on your computer.