What is the treatment for rectal cancer spread to lungs?

Question

Hi doctor,

My husband, three years ago, had rectal cancer removed with no treatment, and now two spots in the lungs that are cancerous. He is 52 years old. I was wondering what type of surgery or treatment might be needed if rectal cancer spreads to the lungs?

Kindly give your opinion.

Thanks in advance.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query, and I can understand your concern.

Based on the history provided, your husband had rectal cancer three years ago. For which he had undergone surgery. He did not receive any additional treatment in the form of radiotherapy or chemotherapy. Now, after three years, follow-up imaging shows two spots in the lungs.

Considering these spots as recurrence from cancer, I would still go for aggressive treatment, as this is considered a late recurrence. If possible, surgical removal of lung Mets (metastasis) or SBRT (stereotactic body radiation therapy) to lung Mets followed by chemotherapy could give the best chance of cure at this stage.

Everything will depend on the location and the possibility of complete surgery. If you can provide me with more details, such as his imaging and other blood tests, I would be in a better position to help you.

If you have any other questions, you can always revert here.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

So, if possible, resection of those lesions followed by pseudo-adjuvant chemotherapy would be the way to go. I think you must have had this discussion with your treating oncologist and team.

They would be in a better position to tell you in detail as they have access to his case records.

If you have any other questions, you can revert here.

Thank you.