Email this article CURRENT TREATMENT POLICY FOR RECTAL CANCER WITH SYNCHRONOUS DISTANT METASTASES (A CLINICAL CASE)
- Authors: Davydov M.I.1, Patyutko Y.I.1, Lichinitser M.R.1, Rasulov A.O.1, Tkachev C.I.1, Podluzhny D.V.1, Aliyev V.A.1, Tatayev I.S.1, Ovchinnikova A.I.1
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Affiliations:
- N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
- Issue: Vol 3, No 1 (2014)
- Pages: 35-41
- Section: CASE REPORT
- Published: 23.02.2015
- URL: https://onco-surgery.info/jour/article/view/12
- DOI: https://doi.org/10.17650/2220-3478-2014-0-1-35-41
- ID: 12
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Abstract
Treatment results of low rectal cancer patient with internal sphincter involvement and synchronous liver metastases is presented. After combined treatment including preoperative targeted therapy, chemotherapy, chemoradiotherapy a synchronous resection of primary tumour and liver metastases was carried out (R0). Synchronous right hepihepatectomy and proctectomy was performed with resection of the deep part of external sphincter, neorectum creation by transverse coloplasty, neoanal sphincter creation using colonic smooth muscle layer without preventive colostomy. A possibility of synchronous plastic sphincter-sparing surgery in metastatic rectal cancer patient with locally advanced tumour is demonstrated. Such treatment allows to remove the risk of primary tumour complications, facilitates further chemotherapy treatment and improves quality of life and long-term treatment outcome.
About the authors
M. I. Davydov
N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
Email: afandi@inbox.ru
Russian Federation
Yu. I. Patyutko
N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
Email: afandi@inbox.ru
Russian Federation
M. R. Lichinitser
N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
Email: afandi@inbox.ru
Russian Federation
A. O. Rasulov
N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
Email: afandi@inbox.ru
Russian Federation
C. I. Tkachev
N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
Email: afandi@inbox.ru
Russian Federation
D. V. Podluzhny
N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
Email: afandi@inbox.ru
Russian Federation
V. A. Aliyev
N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
Author for correspondence.
Email: afandi@inbox.ru
Russian Federation
I. Sh. Tatayev
N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
Email: afandi@inbox.ru
Russian Federation
A. I. Ovchinnikova
N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, Moscow
Email: afandi@inbox.ru
Russian Federation
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