An unusual case of long-term survival with excellent quality of life after surgery of rectal cancer with metastasis to the liver, lung, and scalp

Abstract: With improvements in therapies for colorectal cancer, patient survival can be extended remarkably. Multiple treatment modalities can be combined, and collaboration among different departments is important. A patient presented with rectal cancer with metastases to the liver, lungs, and scalp, which were excised completely. The scalp lesion recurred twice, and the final procedure was a free flap reconstruction after wide excision. Since then, there has been no recurrence, and the patient has had an excellent quality of life after 8 years of follow-up. The overall survival of colorectal cancer is increasing owing to improvements in surgery, chemotherapy, and targeted therapy. Aggressive treatment is helpful in patients with metastatic colorectal cancer.