[A case of disease-free survival with low-dose chemotherapy after resection of hepatic and pulmonary metastases from rectal cancer].

We report a case of disease-free survival with low-dose of uracil-tegafur (UFT) after reaction of hepatic and pulmonary metastases from rectal cancer. A 58-year-old male had a medical history of low anterior resection of the rectal cancer. Hepatic and pulmonary metastases developed 3 years and 3 months after the primary operation. Image studies including computed tomography, ultrasonography, and angiography showed multiple metastases in the liver and lung. Two surgeries were performed to resect all of them, followed by adjuvant chemotherapy with low-dose UFT due to relatively low platelet counts. After surgery, the patient has been well without any sign of recurrence or elevation of tumor markers for 2 years and 10 months. This case indicated the usefulness of surgical resection of hepatic and pulmonary metastases, followed by low-dose adjuvant chemotherapy.