A Case of Surgically Treated Triple Cancer -Sigmoid Colon Cancer, Skin Cancer and Mucin-producing Pancreatic Cancer-

Kanrou Makisumi, Sonshin Takao, Takashi Ishizawa, Takashi Aikou, Hisaaki Shimazu, Keizo Tanaka*, Shigeru Imakiire**, Senjo Makisumi**

First Department of Surgery, Kagoshima University School of Medicine
*Second Department of Internal Medicine, Kagoshima University School of Medicine
**Sonoda Hospital

A case of triple cancer in a 68-year-old man is described. He underwent sigmoidectomy for sigmoid colon cancer at our hospital in 1974. The histopathological diangosis was well-differentiated adenocarcinoma. In 1g89 he again consulted us because of a 2×2 cm tumor on the back of his left hand. The tumor was surgically resected, and the histopathology was well-differentiated squamous cell carcinoma. Two months after the second operation, he returned to our hospital because of back pain. A series of examination including CT, ERCP and echography disclosed a pancreatic tumor, most probably malignant. He underwent pancreaticodudenectomy. Histopathological diagnosis was mucinous adenocarcinoma; that is, so-called mucinproducing pancreatic cancer. All three lesions have rarely been resected in patients with triple cancer. Accordingly, such cases appearing in the Japanese literatures were reviewed.

Key words
triple cancer, mucin-producing pancreatic cancer

Reprint requests
Kanrou Makisumi Department of Surgery, Sonoda Hospital
132 Midorimachi, Makurazaki City, 898 JAPAN

Accepted
January 8, 1992

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