Abstract
In April, 2004, a 71-year-old male was found to have rectal carcinoma on colonoscopy. Based on the pathology of the biopsy specimen a small cell carcinoma was diagnosed. An abdominoperineal resection was done ; adjacent lymph node metastasis was suspected, but no lesions were detected in other organs. On histopathology, the resected specimen showed small cell carcinoma, Stage IIIb (according to General Rules for Clinical and Pathological Studies on Cancer of The Colon. Rectum and Anus, The 7th Edition). Postoperative chemotherapy included 6 cycles of CDDP and VP-16. On follow-up 45 months post-surgery, the patient was disease-free. Small cell carcinoma of the rectum is very rare and usually has a very poor prognosis. Thus, we are reporting this case of small cell carcinoma of the rectum that was resectable and that has had long-term survival.
