Would you continue treatment of a rectal metastasis in a patient who is found to have radiographic evidence of contained rectal perforation during the treatment?

Good clinical question. In my experience, I have treated quite a few of both rectal and anal cancer cases, but not one from a metastatic nature that I can recall.

But, in any event, my clinical instincts/experienced would push me to ask the following questions:

Is this a change in his my daily/weekl...