{Reference Type}: Case Reports
{Title}: [A Case of Radical Resection after Neoadjuvant Chemotherapy for Rectal Cancer with Pelvic Abscess].
{Author}: Osaki M;Takahashi Y;Tokuyama S;Kawai K;Matsui Y;Toshiyama R;Yamamoto M;Sakai K;Takeno A;Gotoh K;Miyazaki M;Takami K;Hirao M;Kato T;
{Journal}: Gan To Kagaku Ryoho
{Volume}: 50
{Issue}: 13
{Year}: 2023 Dec
暂无{Abstract}: 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.