[A case of long-term disease free survival after three surgical resections for local recurrence and lung metastases from rectal cancer].

Six years ago, a 67-year-old-man underwent Mile's operation for rectal cancer. He complained of lower back pain in 1999, and was diagnosed with local recurrence from rectal cancer. The tumor invaded to the bladder, prostate, internal obturator muscle, and the piriform muscle. We performed a total pelvic resection and systemic chemotherapy with low-dose 5-fluorouracil/cisplatin. Since lung metastases were pointed in 2001, he received chemotherapy consisted of irinotecan and 5'-DFUR for 1 year, and a partial resection for lung metastasis was performed in 2002. After a partial resection for subsequent lung metastasis occurred in 2003, he has survived more than 5 years. A surgical resection is an effective treatment for a localized recurrence from colorectal cancer.