[A Case of Squamous Cell Carcinoma of the Lower Rectum].
Gan To Kagaku Ryoho
; 50(4): 508-510, 2023 Apr.
Article
in Ja
| MEDLINE
| ID: mdl-37066470
ABSTRACT
A 61-year-old man presented with dyschezia, and further examination revealed squamous cell carcinoma of the lower rectum invading the bladder and seminal vesicles. The clinical diagnosis was squamous cell carcinoma of the lower rectum, cT4b(bladder and seminal vesicle)N0M0, cStage â
¡c. Neoadjuvant chemoradiotherapy was administered with external irradiation of the entire pelvis(50.4 Gy/28 Fr)and chemotherapy with 5-fluorouracil, Leucovorin, and oxaliplatin(FOLFOX). Once tumor shrinkage was observed 3 months after chemoradiotherapy, laparoscopic total pelvic exenteration with TaTME approach was performed. The patient was discharged on the 26th postoperative day without any postoperative complications. Histopathological examination showed only squamous cell carcinoma component with Grade 1a histological treatment effect. The pathological diagnosis was ypT4b(bladder, seminal vesicle)ypN0cM0, ypStage â
¡c. The patient was alive without any recurrence 6 months after surgery.
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Database:
MEDLINE
Main subject:
Rectal Neoplasms
/
Carcinoma, Squamous Cell
Limits:
Humans
/
Male
/
Middle aged
Language:
Ja
Year:
2023
Type:
Article