Zhang Lixia, Jiang Xiaoling, Wu Maoyuan, Zhang Wenwen, Wang Guanyan, Yang Wei, Li Tingchao, He Lianli, Wang Gangcheng
Department of Gynecology and Obstetrics, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, Guizhou, China.
Department of Imaging, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, China.
Front Oncol. 2025 Aug 27;15:1550960. doi: 10.3389/fonc.2025.1550960. eCollection 2025.
Locally recurrent rectal cancer (LRRC) refers to the lesions that appear in the pelvic cavity and perineum with the same pathological type as the primary tumor after radical operation of rectal cancer, excluding other distant metastases such as liver, lung, and bone. Radical surgical resection in such patients is a central element in improving quality of life andsurvival. In this paper, we report the case of a patient who was admitted to our hospital with a recurrence of ulcerated moderately differentiated carcinoma of the lower rectum with vaginal involvement after comprehensive treatment. After discussion by a multidisciplinary team, a transsacral prone longitudinal incision combined with bilateral gluteus maximus "kite" flap padding was used to remove the tumor tissue completely, and the postoperative area healed well, which improved the patient's quality of life and increased her survival rate.
局部复发性直肠癌（LRRC）是指直肠癌根治术后盆腔和会阴出现的与原发肿瘤病理类型相同的病变，不包括肝、肺、骨等其他远处转移。此类患者的根治性手术切除是改善生活质量和生存率的核心要素。本文报告了1例经综合治疗后复发的低位直肠溃疡型中分化癌累及阴道的患者入住我院的病例。经多学科团队讨论后，采用经骶骨俯卧纵向切口联合双侧臀大肌“风筝”皮瓣填充，完整切除肿瘤组织，术后术区愈合良好，改善了患者的生活质量，提高了其生存率。
