Locally advanced rectal cancer with a pelvic kidney complicating adjuvant radiation therapy
✍ Scribed by Bokhari, Malak B.; Hostetter, Richard B.; Auber, Miklos L.; Ulewicz, Dennis E.
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 315 KB
- Volume
- 63
- Category
- Article
- ISSN
- 0022-4790
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✦ Synopsis
The simultaneous occurrence of colorectal malignancy with pelvic ludney is unusual. We report a case of locally advanced rectal cancer stage 111 disease, T3N2M0, with a pelvic kidney complicating adjuvant radiation therapy. We recommend preoperative evaluation of the pelvic kidney to allow for its protection by translocation or heterotopic autologous transplantation. Occasionally a nephrectomy may be necessary. Otherwise extended lymph node dissection is not performed; hence, adequate treatment of the primary rectal cancer is compromised. The sequela of inadequate surgical excision and suboptimal radiation therapy is early relapse.