Abstract
We report a case of locally advanced rectal cancer in a young adult. A 34–year–old woman with a two–month history of abnormal bowel action and genital hemorrhage was found in barium enema and colonoscopy to have advanced rectal cancer with severe stenosis. Computed tomography (CT) showed lower rectal cancer, including the uterus and vagina, and an enlarged left ovary, with neither liver metastasis nor lung metastasis. Miles operation resecting the uterus, bilateral ovary, posterior vaginal wall, and left ureter was conducted in December 2002. Histological examination showed well– differentiated adenocarcinoma invading the uterus, vagina, left ovary, and left ureter, with lymph node metastasis. The woman underwent postoperative adjuvant chemotherapy with 5–FU/l–LV (RPMI regimen) and has remained recurrence–free in the six years since surgery.
