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Case Reports
. 2019 Oct;10(10):2050-2053.
doi: 10.1111/1759-7714.13182. Epub 2019 Aug 27.

Multiple metachronous rare primary malignant tumors: A case report

Affiliations
Case Reports

Multiple metachronous rare primary malignant tumors: A case report

Xiaozhen Ying et al. Thorac Cancer. 2019 Oct.

Abstract

Multiple primary malignant tumors (MPMTs) are rarely seen among the patients with malignant neoplasms. Moreover, the existence of five MPMTs in the same patient is an extremely rare phenomenon. In this case, a 42-year-old male patient developed five metachronous MPMTs within 16 years and the duration between each malignant tumor shortened with the progression of the disease. Multidisciplinary treatments were used on this patient and he fought against the cancers until the end of his life. Our report provides us with a new awareness of MPMTs, which should be considered when we come across with cancer patients who develop various unexplainable symptoms after the diagnosis of the first neoplasm.

Keywords: Bladder cancer; colon cancer; histopathological analysis; lung cancer; multiple primary malignant tumors.

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Figures

Figure 1
Figure 1
(a) Sigmoid colon cancer was diagnosed in June 1997. (b) Ascending colon carcinoma was diagnosed in October 2003. (c) Urinary tract cancer was diagnosed in April 2009. (d) Bladder cancer was diagnosed in October 2010, (HE staining, 100x).
Figure 2
Figure 2
In September 2011, two new masses were evident. (a) A 5.2 x 5.8 cm mass at the supraclavicular edge. (b,c) A mass in the right upper lobe of the lung. (d) A pathological diagnosis of squamous cell carcinoma was made (HE staining, 100x).
Figure 3
Figure 3
This illustrates the progression of the malignancies.

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