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Background: Squamous cell carcinoma (SCC) of the rectum is a rare malignancy, and retroperitoneal nodal metastasis (RNM) represent 1-2% of colorectal cancer metastasis (CRC), and radical retroperitoneal lymphadenectomy (RRL) in this setting remains controversial. However, there are no reports in the literature on how to treat SCC retroperitoneal lymph node metastasis. Case Presentation: The patient was a 47-years-old woman with SCC of the rectum. Concomitant chemoradiotherapy (CRT) followed by surgery was planned. After 8 weeks, CT of the abdomen for restaging showed a 6 cm para-aortic mass involving and obstructing the medium third of the left ureter. The patient was submitted to abdominoperineal rectal resection with left nephrectomy and en-bloc resection of para-aortic tumor (nodal bulking). Conclusion: After a thorough review of the literature regarding RNM for rectal SCC, we found no mention of how to treat RNM for rectal SCC. The purpose of this paper is to report a very rare case of RNM for rectal SCC and to discuss the surgical approach. Surgery seems to be the best option for local control and improvement in overall survival (OS).

Bauhinia is a botanical genus widely distributed in parts of Asia and South America. The plant bears beautiful and aromatic flowers that add ornamental beauty to parks and gardens, in addition to being used in medicine and ayurverda. This study aimed to evaluate the floral ethanolic extract of B. variegata, B. forficata and B. purpurea in fungal inhibition against Sclerotinia sclerotiorum, Colletotrichum gloeosporioides and Colletotrichum acutatum. Flowers were harvested in 2021 and 2022. The floral ethanolic extract was produced by the static maceration method. The antifungal activity was performed by the agar diffusion method at different extract s;concentrations. Bauhinia floral extracts showed a potential fungicidal effect on fungal species evaluated in particular for Sclerotinia sclerotiorum, followed by Colletotrichum gloeosporioides and Colletotrichum acutatum.

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