Abstract
A 61-year-old female was referred to the hospital for the surgical treatment of a carcinoma of the rectum. There was a past history of receiving irradiation for an advanced cancer of the cervix uteri 19 years before. As abdominal symptoms of radiation-induced colitis increased in degree for those several months, the patient was investigated through the barium study and colonoscopy. Carcinoma was pointed out at the rectosigmoid colon, then a radical operation was performed. The adhesion was so strong inside the pelvis. The main tumor was resected and Hartmann's operation was performed. Mucinous carcinoma with its subserosal invasion without lymph node metastases was observed pathologically. Although the effectiveness of the irradiation for the cancer of the cervix uteri is today undoubtful, the radiation-induced colorectal cancer has been increasingly reported than before. Since our case satisfies some important factors of the criteria of the radiation-induced cancer proposed previously, it is reported with some review of the literature.
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