J Korean Surg Soc.  2003 Dec;65(6):576-581.

Primary Duodenal Cancer Combined with Gastric Cancer after Treatment of Cervical Cancer -triple primary cancer

• Lee BH
• Choi DH
• Kim HJ
• Lee KG
• Lee KS

Abstract

Multiple primary tumors are defined as cases involving primary malignant tumors of different histologic origins in one person. The absolute number of reported cases of double primary malignant tumors has increased in recent years diagnostic procedures. Primary adenocarcinoma of duodenum is a rare disease and represents less than 0.5% of all gastrointestinal malignancies. Therefore, synchronous multiple primary cancers of the stomach and duodenum are very rare. Recently, we experienced a case of triple primary malignant tumors of different site originating from the stomach, duodenum and cervix in 71- year-old woman. She had had radiation therapy and chemotherapy for squamous cell carcinoma of the uterine cervix 8 years previously. We performed subtotal gastrectomy and pancreaticoduodenectomy with radical lymph node dissection. She remained healthy without any evidence of recurrence 12 months after the operation.

Keyword

Multiple primary cancer; Cervical cancer; Duodenal cancer; Stomach cancer

MeSH Terms

Adenocarcinoma
Carcinoma, Squamous Cell
Cervix Uteri
Drug Therapy
Duodenal Neoplasms*
Duodenum
Female
Gastrectomy
Humans
Lymph Node Excision
Pancreaticoduodenectomy
Rare Diseases
Recurrence
Stomach
Stomach Neoplasms*
Uterine Cervical Neoplasms*