Multiple primary malignant neoplasms of the glottis, renal pelvis, urinary bladder, oral floor, prostate, and esophagus in a Japanese male patient: a case report

Abstract

Owing to recent advances in diagnostic and surgical techniques for cancer, a patient diagnosed with two or more neoplasms is not rare. We report on the case of a 58-year-old male with multiple primary malignant neoplasms, who suffered from three histological types of malignant neoplasm in six organs, namely the glottis, renal pelvis, urinary bladder, oral floor, prostate, and esophagus in chronological order. The first neoplasm was a squamous cell carcinoma of the glottis diagnosed in 2006. The second and third neoplasms were urothelial carcinomas of the right renal pelvis and urinary bladder, respectively, diagnosed in 2008. The remaining three neoplasms were diagnosed in 2010, namely a squamous cell carcinoma of the oral floor, an adenocarcinoma of the prostate, and a squamous cell carcinoma of the esophagus. The glottic cancer and esophageal cancer were treated by external radiation therapy. The malignant neoplasms of the oral floor and those which originated in the urinary tract were surgically resected. All neoplasms except the malignant neoplasm of the oral floor were well controlled. The patient died of cervical lymph node metastasis from the squamous cell carcinoma of the oral floor in January 2011. As far as we know, the present report is the first one on this combination of primary malignant neoplasms.

Figure 1

The expression of p53 in SCC and UC. Tissue samples were stained by hematoxylin-eosin (left column) and anti-p53 antibody diluted 1:50 (Clone DO-7, Leica Biosystems, Wetzlar, Germany; right column). Immunoreactivity of p53 in tumor cells was identified by nuclear brown color. (A and a) Glottic cancer; (B and b) Oral cancer; (C and c) Esophageal cancer (upper portion); (D and d) Esophageal cancer (middle portion); (E and e) Renal pelvic cancer; (F and f) Bladder cancer. Scale bars, 100 μm.