Complete resolution of rectal cancer with liver metastases after palliative chemoradiotherapy and unplanned surgical resection-a case report

Zhi S Choong; King H Wong; Tze W W Yang; Margaret Nguyen; Zeev Duieb

doi:10.1093/jscr/rjad060

Complete resolution of rectal cancer with liver metastases after palliative chemoradiotherapy and unplanned surgical resection-a case report

J Surg Case Rep. 2023 Feb 22;2023(2):rjad060. doi: 10.1093/jscr/rjad060. eCollection 2023 Feb.

Authors

Zhi S Choong¹, King H Wong², Tze W W Yang¹, Margaret Nguyen³, Zeev Duieb⁴

Affiliations

¹ General Surgery, Albury Wodonga Health, Albury, NSW, Australia.
² General Surgery, West Gippsland Healthcare Group, Warragul, VIC, Australia.
³ Radiology, Albury Wodonga Health, Albury, NSW, Australia.
⁴ General Surgery, Monash Health, Clayton, VIC, Australia.

Abstract

Metastatic colorectal cancer has poor prognosis for many patients at time of diagnosis with <20% 5-year survival rate. Recent advancements in palliative chemotherapy have improved patient outcomes as median survival has increased almost 2-fold. We report a 44-year-old gentleman who initially underwent palliative chemoradiotherapy and subsequently a Hartmann's procedure for ypT3N1M1 upper rectal adenocarcinoma with multiple liver metastases. Fortuitously, he made a remarkable recovery with complete radiological resolution of liver metastasis post-operatively. The patient has remained in remission for the past 10 years.

Publication types

Case Reports