Metastatic small cell rectal cancer – A rare case of malignancy, as a challange for the clinician

A 54-old patient was operated on in a secondary center with rectal neuroendocrine adenocarcinoma NSE and cgA positive (pT3 pN2/5/10/M0) two years ago. After the operation the patient was treated with 5 cycles of 5FU-LV adjuvant chemotherapy. Multiple liver metastasis and local recidive was found on an early CT staging wich was made for pelvic pain. An ectopic, presacral left kidney was also observed on this CT scan. Than the patient was reffered to our department because of progressive disease. The histological revision of the original tumour revealed not a neuroendocrine nor a typical adenocarcinoma, but a smal…