Korean J Med.  2019 Feb;94(1):114-118. 10.3904/kjm.2019.94.1.114.

Multiple Metachronous Malignancies: One Patient with Five Primary Malignancies

Affiliations
  • 1Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. bik.kim@samsung.com
  • 2Department of Urology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 3Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 4Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 5Department of Pathology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

We report a case of a 73-year-old male with multiple, metachronous primary malignancies. He presented with adenocarcinoma of the stomach with transverse colon invasion followed by bladder cancer, hypopharyngeal cancer, urothelial cancer, and hepatocellular carcinoma, in that order, over 10 years. While these multiples malignancies were separate entities, they shared several etiologic factors, including smoking. To the best of our knowledge, this is the first description of five metachronous malignancies in a Korean patient.

Keyword

Multiple malignancies; Metachronous; Cigarette smoking; Five primary malignancies

MeSH Terms

Adenocarcinoma
Aged
Carcinoma, Hepatocellular
Colon, Transverse
Humans
Hypopharyngeal Neoplasms
Male
Smoke
Smoking
Stomach
Urinary Bladder Neoplasms
Smoke
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