Related Experiment Video
Updated: Nov 26, 2025

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Management and complete resection of peritoneal and bone metastases from mucinous rectal carcinoma
Pamela Milito1, Luigi Battaglia1, Maurizio Cosimelli1
1Colorectal Cancer Unit, Department of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Introduction:
Surgical management of patients with multiple metastases from mucinous rectal carcinoma is feasible.
Case Description:
We present a case of a 66-year-old woman with a late onset of peritoneal and coccygeal metastasis from a mucinous rectal carcinoma treated with cytoreductive surgery. After 30 months from rectal resection, the patient underwent exploratory laparotomy with resection of all tumor localizations by means of pelvic peritonectomy, complete supracolic omentectomy, jejuneal resection, appendectomy, and excision of the mobile part of the coccyx.
Conclusion:
This report aims to point out the atypical late-onset recurrence presentation and management of a mucinous carcinoma of the rectum.

