%0 Case Reports
%T [A Case of Radical Resection after Neoadjuvant Chemotherapy for Rectal Cancer with Pelvic Abscess].
%A Osaki M
%A Takahashi Y
%A Tokuyama S
%A Kawai K
%A Matsui Y
%A Toshiyama R
%A Yamamoto M
%A Sakai K
%A Takeno A
%A Gotoh K
%A Miyazaki M
%A Takami K
%A Hirao M
%A Kato T
%J Gan To Kagaku Ryoho
%V 50
%N 13
%D 2023 Dec
%M 38303359
暂无%X A 66-year-old man with a history of frequent diarrhea was diagnosed with rectal cancer with obstruction and a pelvic abscess. Following a transverse colostomy, he was referred to our hospital. The initial diagnosis was rectal cancer(cT4a N1bM0, cStage Ⅲb)and a pelvic abscess due to tumor perforation. To address this condition, we performed neoadjuvant chemotherapy using a combination of 5-fluorouracil, Leucovorin, oxaliplatin, and irinotecan(FOLFOXIRI). Following 6 courses of FOLFOXIRI, the abscess disappeared and no signs of tumor progression and distant metastases were detected. Subsequently, we performed radical resection with D3LD2 lymph node dissection, leading to a pathological diagnosis of ypT3N1aM0, ypStage Ⅲb. The patient then underwent adjuvant chemotherapy with capecitabine and oxaliplatin(CAPOX). No recurrence was observed after 9 months of follow-up.