A Case of Quadruple Cancer with Metachronous Colon Cancer -A Case of Operation for Synchronous Triple Cancer-

Keiju Aokage¹⁾, Hisashi Tsuji²⁾, Shuji Ichihara²⁾, Masatoshi Kubo²⁾, Shoji Takagi²⁾, Eiji Ikeda²⁾, Shigeharu Moriyama²⁾, Ryuji Hirai²⁾, Shiro Furutani²⁾ and Nobuyoshi Shimizu¹⁾

¹⁾Department of Cancer and Thoracic Surgery, Okayama University Graduate School of Medicine
²⁾Department of Surgery, Okayama Red Cross Hospital

The increase in the number of patients with multiple cancers is considered due to improved diagnotic techniques. We present a case in which a man underwent surgery for triple cancers of quadruple cancers, synchronous stomach, duodenal, and renal cancers and metachronous colon cancer. He underwent endoscopic polypectomy for a colon polyp in January 1995. The histological finding of this polyp was cancerous adenoma. In September 2000, he underwent omental implantation for gastric ulcer perforation. After this operation we found gastric and duodenal cancers in upper gastrointestinal endoscopic examination and right renal cancer in abdominal CT. He underwent total gastrectomy, pancreatoduodenectomy, and right nephrectomy in September 2000. Reports of quadruple cancers are increasing year by, as are reports of synchronous cancers. Cancers having the same risk factor easily accompany others, so we must be careful not to miss such cancers.

Key words
quadruple cancer, synchronous triple cancer, double cancer

Reprint requests
Keiju Aokage Department of Cancer and Thoracic Surgery, Okayama University Graduate School of Medicine
2-5-1 Shikata-cho, Okayama, 700-8558 JAPAN

Accepted
July 23, 2003

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