Rectal cancer with liver metastases accompanied by severe coronary artery stenosis: a case report
10.12025/j.issn.1008-6358.2025.20250384
- VernacularTitle:直肠癌伴肝转移合并严重冠状动脉狭窄1例报告
- Author:
Yinuo GUAN
1
;
Jiahui CHEN
2
;
Yan WANG
3
;
Hao LU
2
;
Leilei CHENG
4
Author Information
1. Department of Cardiology, The Second Norman Bethune Hospital, Jilin University, Changchun 130000, Jilin, China;Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
2. Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
3. Department of Oncology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
4. Department of Cardiac Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
- Publication Type:Clinicalcaseanalysis
- Keywords:
rectal cancer;
liver metastasis;
coronary heart disease
- From:
Chinese Journal of Clinical Medicine
2026;33(1):147-153
- CountryChina
- Language:Chinese
-
Abstract:
To report diagnosis and treatment of a patient with rectal cancer and synchronous liver metastases, accompanied by severe coronary artery stenosis and cardiac insufficiency, and to provide a reference for clinical decision-making in such cases through introducing the treatment contradiction, the choice of systemic treatment plan and the timing of operation, and the final outcome. After definitive diagnosis, the patient received systemic therapy with cetuximab＋irinotecan＋oxaliplatin＋raltitrexed, and along with oral medication to improve cardiac function, followed by elective coronary revascularization. After revascularization, the cardiac function of patient was fully improved. And the tumor lesion was effectively controlled after antitumor therapy. Once the cardiac condition of patient stabilized, two-stage surgical resection of the primary rectal cancer and liver metastases was performed, ultimately achieving tumor-free status, and discharged.
