Medical Radiology and Radiation Safety. 2021. Vol. 66. № 3. С. 76–81

A.V. Polynovskiy1, D.V. Kuzmichev1, Z.Z. Mammadli1, M.V. Chernich2, J.E. Suraeva1,
J.M. Madjarov1, A.A. Aniskin1, E.S. Kolobanova1

Successful Case of Treatment the Patient with Synchronous Rectal 
and Sigmoid Cancers and Synchronous Lung Metastasis

1N.N. Blokhin National Medical Research Center of Oncology, Moscow, Russia

2PET-Technology, Podolsk, Moscow Region, Russia

Contact person: Andrey Vladimirovich Polynovskiy: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Colorectal cancers (CRC) takes the leading position in the incidence of morbidity and mortality worldwide. Metastatic CRC in the primary diagnosis ranges from 15 to 35 %. Lung metastasis are the most frequent extraperitoneal manifestation of the metastatic process. Such patients are relatively rare and there are no clear recommendations for their treatment tactics to date. This clinical case describes a successful strategy of using preoperative prolonged chemoradiotherapy on a primary tumor and stereotactic irradiation of lung metastasis, with courses of chemotherapy, with further radical laparoscopic operation, in a patient with disseminated primary multiple rectal cancer, synchronous sigmoid colon cancer and 2 metastatic focuses in both lungs.

Key words:rectal cancer, metastatic, lung metastasis, stereotactic body radiotherapy, ablative radiation therapy, chemoradiotherapy

For citation: Polynovskiy A.V., Kuzmichev D.V., Mammadli Z.Z., Chernich M.V., Suraeva  J.E., Madjarov J.M., Aniskin A.A., Kolobanova E.S. Successful Case of Treatment the Patient with Synchronous Rectal and Sigmoid Cancers and Synchronous Lung Metastasis.  Medical Radiology and Radiation Safety. 2021;66(3):76-81.

DOI: 10.12737/1024-6177-2021-66-3-76-81

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Conflict of interest. The authors declare no conflict of interest.

Financing. The study had no sponsorship.

Contribution. Article was prepared with equal participation of the authors.

Article received: 17.03.2021. 

Accepted for publication: 17.03.2021.