Highlights • Brain and thyroid metastasis of rectal cancer are uncommon, and prognosis are poor.• Lung, brain and thyroid metastasis of rectal cancer was resected metachronous.• This case survived 19… Click to show full abstract
Highlights • Brain and thyroid metastasis of rectal cancer are uncommon, and prognosis are poor.• Lung, brain and thyroid metastasis of rectal cancer was resected metachronous.• This case survived 19 years after the initial rectal surgery.• Patients whose metastases were resected completely may get a prolonged survival.
               
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