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Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

At age 49, a white woman had a right tubo-ovarian abscess removed. Nine months later a 10 cm rectal mass was found at the level of the uterine fundus. An extended abdominal-perineal resection (APR) revealed a moderately differentiated adenocarcinoma of the rectum invading the right ovary and uterine myometrium. Two months post APR, a necrotic lesion which was associated with a 7 cm pelvic mass was diagnosed as adenocarcinoma on biopsy in the vaginal vault. Liver function tests (LFTs) were normal, but the carcinoembryonic antigen (CEA) level was 24.5 ng/ml.

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References

  • Bethune WA (1987) Carcinoma of the rectum: 508 patients with failure analysis and implication for adjuvant therapy. J Can Assoc Radiol 38:206–216

    Google Scholar 

  • Ciatto S, Pacini P (1982) Radiation therapy of recurrences of carcinoma of the rectum and sigmoid after surgery. Acta Radiol 21:105–109

    Article  CAS  Google Scholar 

  • Cohen AM, Gunderson LL, Wood WC (1980) Intraoperative electron beam radiation therapy boost in the treatment of recurrent rectal cancer. Dis Colon Rectum 23(7): 453–455

    Article  PubMed  CAS  Google Scholar 

  • Dobrowsky W, Schmid AP (1985) Radiotherapy of presacral recurrence following radical surgery for rectal carcinoma. Dis Colon Rectum 28:917–919

    Article  PubMed  CAS  Google Scholar 

  • Overgaard M, Overgaard J, Sell A (1984) Dose-response relationship for radiation of recurrent, residual, and primarily inoperable colorectal cancer. Radiother Oncol 1:217–225

    Article  PubMed  CAS  Google Scholar 

  • Pearlman NW, Donohue RE, Steigmann GV, Ahnen DJ, Sedlacek SM, Braun TJ (1987) Pelvic and sacropelvic exenteration for locally advanced or recurrent onorectal cancer. Arch Surg 122(5): 537–541

    Article  PubMed  CAS  Google Scholar 

  • Rominger CJ, Gunderson LL, Gelber ED, Conner N (1985) Radiation therapy alone or in combination with chemotherapy in the treatment of residual or inoperable carcinoma of the rectum and rectosigmoid or pelvic recurrence following colorectal surgery. Am J Clin Oncol 8(2): 118–127

    Article  PubMed  CAS  Google Scholar 

  • Wong CS, Cummings MB, Keane TJ, Dobrowsky W, O’Sullivan B, Catton CN (1991) Combined radiation therapy, mitomycin-C, and 5FU for locally recurrent rectal carcinoma: results of a pilot study. Int J Radiat Oncol Biol Phys 21(5): 1291–1296

    Article  PubMed  CAS  Google Scholar 

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© 1994 Springer-Verlag Berlin Heidelberg

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Bethune, W.A. (1994). Local Recurrence from Cancer of the Rectum. In: Kagan, A.R., Steckel, R.J. (eds) Practical Approaches to Cancer Invasion and Metastases. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84885-8_32

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  • DOI: https://doi.org/10.1007/978-3-642-84885-8_32

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-84887-2

  • Online ISBN: 978-3-642-84885-8

  • eBook Packages: Springer Book Archive

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