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A 48-year-old man had high-grade mucinous adenocarcinoma of the rectum. He underwent abdominoperineal resection in September 2014, followed by adjuvant radiotherapy completed in May 2017 and chemotherapy completed in March 2018.
During chemotherapy in November 2017, doctors noticed a mass in the upper right thigh. Biopsy and immunohistochemical testing confirmed that it was a metastasis from the rectal primary. PET/CT on May 29, 2018 showed residual activity in the thigh mass but no other active metastatic site. In particular, there was no active disease in the liver or lungs.
Because the thigh lesion appeared to be the only remaining metastasis, the care plan was surgical removal of the mass followed by another course of chemotherapy.
This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full
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