Abstract
Colorectal cancer is one of the most common malignant diseases worldwide. A multidisciplinary approach to treatment involves surgery and chemotherapy, while radiotherapy is used in the treatment of tumors localized in the pelvis. Stereotactic radiotherapy allows the delivery of high, ablative radical radiotherapy doses to target volumes, with a reduced risk to the surrounding organs, making it suitable for irradiating localized disease. A 59-year-old female S.M. presented to the doctor due to the appearance of a perianal fistula. Colonoscopy was performed, revealing a moderately differentiated adenocarcinoma. Magnetic resonance imaging (MRI) examination diagnosed a tumor lesion of the rectosigmoid junction with a perilesional abscess collection and several fistulous channels communicating with the perianal skin. The patient underwent surgery with adjuvant chemotherapy. A follow-up MRI examination 8 months after surgery revealed a soft tissue lesion in the perianal tissue characterized as a recurrence of the disease, and stereotactic body radiotherapy (SBRT) was applied. Six months after SBRT follow-up examinations indicated a complete clinical response to radiotherapy without the recurrence of the primary disease. Stereotactic radiotherapy can be applied as an effective and safe ablative technique, particularly when considering the significant morbidity and impairment of the quality of life in patients after surgical treatment.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
