Cryosurgery: Adjuvant treatment at the time of resection of a pelvic recurrence in rectal cancer

We report a case in which cryosurgical ablation was used to treat recurrent rectal cancer. Several years after low anterior resection for rectal cance r, the patient was found to have a large pelvic recurrence with involvement of the presacral space. After resection of the pelvic mass, cryosurgery wa s applied to the presacral space, extending to the lateral pelvic wall and up to the sacral promontory. After a 24-month follow-up, the patient remain s disease-free with a Karnofsky performance status of 100 per cent. Cryosur gery can be used as an adjuvant therapy at the time of resection to success fully treat a pelvic recurrence.