Multimodality imaging of usual and unusual sites of metastasis which occur after definitive therapy for rectal cancer

  • Priya Bhosale
    Corresponding author. Division of Diagnostic Imaging, Department of Radiology, University of Texas M. D. Anderson Cancer Center, Box 368, Houston, TX 77030, USA. Tel.: +1 713 792 8177; fax: +1 713 745 1302.
    MD Anderson Cancer Research Center, Division of Diagnostic Imaging, 1515 Holcomb Street, Houston, TX 77401, USA
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  • Janio Szklaruk
    MD Anderson Cancer Research Center, Division of Diagnostic Imaging, 1515 Holcomb Street, Houston, TX 77401, USA
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  • Revathy Iyer
    MD Anderson Cancer Research Center, Division of Diagnostic Imaging, 1515 Holcomb Street, Houston, TX 77401, USA
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      Rectal cancer is a common malignancy encountered largely after the fifth decade of life. Due to the recent advances in cancer therapy, which include chemoradiation therapy pre- and postoperatively, survival has improved. Radiologist has become an integral part of the patient management team to diagnose and localize the area of recurrent rectal cancer. Although typical pathways of rectal cancer spread have been described, recurrence may occur in unexpected locations due to the currently available aggressive therapy being able to control local disease. Imaging surveillance should include careful evaluation of expected and unexpected anatomic sites where tumor may recur. This paper will describe the common and uncommon locations of recurrent rectal cancer.


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