Abstract

Recurrence of rectal cancer represents a major challenge which greatly reduces the long-term survival, therefore intensive follow up postoperatively including both clinical and pathological findings greatly improves the overall five-year survival rate of rectal cancer patients. In this case, we can see how there is high percent of recurrence in the rectal cancer surgery even after the total neoadjuvant CRTh and complete surgical excision, in the T2NO, we can notice still there is a recurrence rate. Surgical resection of rectal cancer depends mainly on clear CRM, free edges in addition to negative rectal mesenteric lymph nodes.