ABSTRACT
Los tumores malignos primarios múltiples sincrónicos son relativamente inusuales, aunque el número de pacientes diagnosticados con tumores primarios múltiples se está incrementando, dado al desarrollo de procedimientos diagnósticos más sofisticados, invasivos o no invasivos, y el incremento del número de pacientes ancianos. Los canceres sincrónicos al triple fueron reportados en solo el 1,2-1,9% de todos los canceres primarios. Los órganos digestivos son el sitio más común para tumores malignos primarios múltiples y también es el sitio usual del tumor primario. Nosotros describiremos los síntomas, diagnostico y tratamiento de un paciente masculino de 65 años con tumores gástricos malignos múltiples sincrónicos asociado a un cáncer de esófago.
Synchronous multiple primary malignant tumors are relatively unusual, although the number of patients diagnosed with multiple primary tumors is increasing due to development of more sophisticated invasive and non-invasive diagnostic tools and an increase in the number of elderly patients. Synchronous triple cancers were reported in only 1.2-1,9% of all primary cancers. Digestives organs are the most common tumor site for multiple primary malignant tumors and also the usual site for primary tumors. We will describe the symptoms, diagnosis and treatment of a 65 year-old male patient with synchronous gastric malignant tumors associated with esophageal cancer.
Subject(s)
Humans , Male , Middle Aged , Endoscopy, Gastrointestinal , Stomach Neoplasms/diagnosis , Stomach Neoplasms/drug therapy , Stomach Neoplasms/radiotherapy , Gastrectomy , GastroenterologyABSTRACT
Multiple primary cancer is defined as the multiple occurrence of malignant neoplasm in the same individual. Synchronous cancers are usually defined as finding the second cancer at the same time or within a 6-month period after the diagnosis of the primary lesion, and metachronous cancers are found at more than 6 months after the initial diagnosis. Multiple primary cancers have been increasing reported on due to prolonged lifespans and the improvement of diagnostic techniques. Nevertheless, triple synchronous cancers have been regarded as a relatively rare finding. We report here on an unusual case of triple synchronous cancer of early gastric cancer, carcinoid tumor of the ampulla of Vater and renal cell carcinoma.
Subject(s)
Adenocarcinoma , Ampulla of Vater , Carcinoid Tumor , Carcinoma, Renal Cell , Diagnosis , Neoplasms, Second Primary , Stomach NeoplasmsABSTRACT
Multiple primary cancer is defined as the multiple occurrence of malignant neoplasm in the same individual. The incidence of multiple primary cancer is 0.26~1.43% in Korea, but this malady is increasing due to development of diagnostic modalities, the treatment of cancer and the recording of accurate cancer statistics. The most common site of multiple primary cancer in Korea is the stomach, colon, breast, cervix, liver and lung. We report here on a case of triple cancer that was located at the middle esophagus, stomach and duodenum in 75 year-old man.
Subject(s)
Aged , Female , Humans , Breast , Cervix Uteri , Colon , Duodenum , Esophagus , Incidence , Korea , Liver , Lung , StomachABSTRACT
Multiple primary cancer is defined as the multiple occurrence of malignant neoplasms in the same individual. According to the development of new diagnostic techniques and the increase in long-term survivals, reports of multiple primary cancer have been gradually increasing among patients treated for initial cancers. Since Theodor Billroth reported the first three cases of multiple primary cancer in 1889, there have been many reports of multiple primary cancer, with an incidence range in Korea of 0.35~1.84%. In Korea, there have been a few reported cases of triple cancer. Herein, three recently experienced cases of metachronous triple primary cancer are reported.
Subject(s)
Humans , Incidence , KoreaABSTRACT
Combined hepatocellular carcinoma and cholangiocarcinoma is found at a frequency of 1.0~6.3% in resected primary hepatic tumors. However, the case of double cancers of hepatocellular carcinoma and cholangiocarcinoma that are discovered synchronously in different lobes of a liver is very rare. We experienced a case of a 74-year-old man who was found to have hepatocellular carcinoma and cholangiocarcinoma in different lobes of the liver, which were accompanied by early gastric cancer. To our knowledge, this is the first case report of double primary hepatic cancers accompanied with early gastric cancer. The pathogenesis and previous related reports of these lesions are discussed.
Subject(s)
Aged , Humans , Male , Adenocarcinoma/diagnosis , Bile Duct Neoplasms/diagnosis , Bile Ducts, Intrahepatic/pathology , Carcinoma, Hepatocellular/diagnosis , Cholangiocarcinoma/diagnosis , Liver Neoplasms/diagnosis , Neoplasms, Multiple Primary/diagnosis , Stomach Neoplasms/diagnosisABSTRACT
Multiple primary malignant cancer is a disease of more than two cancers occuring in an individual independently. The incidence of multiple primary malignant cancer is increasing gradually due to accurate cancer statistics, early diagnosis and treatment. Multiple primary malignant cancer may be divided into two groups, synchronous or metachronous depending on the interval between their diagnoses. Synchronous cancer is diagnosed simultaneously or within an interval of 6 months and metachronous cancer at interval of more than 6 months. Here, we report a case of synchronous primary triple cancers including stomach, esophagus and liver. The patient was a 63-year-old man with dysphagia. We performed endoscopy, chest and abdominal CT. We found cancers in stomach, esophagus and liver and confirmed triple primary cancer through endoscopic biopsy and sono-guided liver biopsy.
Subject(s)
Humans , Middle Aged , Biopsy , Deglutition Disorders , Diagnosis , Early Diagnosis , Endoscopy , Esophagus , Incidence , Liver , Stomach , Thorax , Tomography, X-Ray ComputedABSTRACT
Multiple gastric caner, now considered to be a sort of multiple primary cancer by Moertel's classification, is a special type of cancer in which two or more tumor lesions arise independently from the stomach. Although its incidence is rare and it has never been reported in Korea yet, the report of multiple gastric cancer is increasing with lengthened life survival and improved diagnostic method. We recently experienced two cases of triple gastric cancer, the one in 53-years-old male who had well differentiated adenocarcinoma(EGC IIb+c) on antrum, poorly differentiated adenocarcinoma on cardia and moderately differentiated adenocarcinoma on mid-body, and the other in 65-years-old female who had two poorly differentiated adenocarcinoma on cardia and anterior wall of low body and moderately differentiated adenocarcinoma (EGCIIc) on posterior wall of low body. Triple gastric cancer is rare, so we reported 2 cases of triple gastric cancer.