[A case of local recurrence of rectal cancer in which trans-sacral resection and perineal reconstruction by femoral posterior flap were performed].

Abstract

A 54-year-old woman underwent abdomino-perineal resection for rectal cancer. Six months after surgery, perineal pain and the tumor marker increased. Local recurrence of the pelvic cavity and lung metastases were diagnosed by computed tomography (CT) and positoron emission tomography (PET) using 18F-fluorodeoxygulucose (FDG). Local perineal pain continued and there was no increase in the neoplastic lesion of the lung, so surgical treatment was performed. After partial resection of the lung, local resection of the gluteus maximus and posterior wall of the vagina was performed with the patient in the Jack-knife position. To fill the defect, a femoral posterior flap was made and the perineal defect was reconstructed.

• Authors: Masakazu Ikenaga, Mitsugu Sekimoto, Masayuki Ohue, Hirofumi Yamamoto, Masataka Ikeda, Hiroki Fukunaga, Kunihiro Nakai, Kenji Yano, Kou Hosokawa, Morito Monden
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 30 Issue 11 Pg. 1710-2 (Oct 2003) ISSN: 0385-0684 [Print] Japan
• PMID: 14619500 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Radiopharmaceuticals
• Fluorodeoxyglucose F18

Topics

• Female
• Fluorodeoxyglucose F18
• Humans
• Lung Neoplasms (diagnosis, secondary, surgery)
• Middle Aged
• Neoplasm Recurrence, Local (diagnosis, surgery)
• Perineum (surgery)
• Radiopharmaceuticals
• Plastic Surgery Procedures (methods)
• Rectal Neoplasms (pathology, surgery)
• Surgical Flaps
• Tomography, Emission-Computed
• Tomography, X-Ray Computed
• Vagina (surgery)