Inguinal lymph node metastasis 5 years after rectal cancer surgery usually chooses conservative treatment, such as chemotherapy, radiotherapy, targeted drug therapy and so on. 1. Chemotherapy: The chemotherapy drugs that can be applied after rectal cancer surgery with recurrence and metastasis include irinotecan, oxaliplatin, 5-fluorouracil and other drugs, and the third-line chemotherapy drugs such as trifluridine tepidopyrimidine tablets (TAS-102) can also be chosen. The combination of several chemotherapy drugs can be selected under the guidance of the doctor. 2. Radiotherapy: on the basis of chemotherapy, radiotherapy can be further assisted, which is conducive to improving the therapeutic effect. 3. Targeted drug therapy: according to their own economic conditions, patients can go to the hospital to do genetic screening, and the doctor will choose the appropriate molecular targeted drugs, such as cetuximab, bevacizumab, nabumab, etc. According to their own economic conditions, patients can go to the hospital to do genetic screening, and the doctor will choose the appropriate molecular targeted drugs by integrating the screening results. It is recommended that patients choose the appropriate treatment plan according to their own situation and the doctor’s guidance, do not blindly treatment.