Multiple Primary Malignancy of Esophageal and Gastric Synchronous and Colon Metachronous
Abstract: Multiple primary
cancer is an incidence when a patient has multiple malignancy in two or more
organs without possibility of metastatic lesion. There have been many reports
on mutiple primary cancer since Billroth reported it for the first time in
1879. Patients who have been diagnosed with a cancer have higher risk for
developing another cancer, thereby physician and the patients should raise more
awareness toward possibility of developing a new metachronous or synchronous
cancer. We report a patient who has three histologically distinct cancers.
Resected primary colon adenocarcinoma and 3 years after came with hematemesis
and diagnosed to have a metachronous squamous cell carcinoma of the oesophagus
synchronous with gastric adenocarcinoma. This case is interesting due to the
clustering of three primary cancers (synchronous and metachronous) which is a
rare occurrence in a single patient.
Keywords: Multiple primary
cancer, Esophageal squamous cell carcinoma, Colonic adenocarcinoma, Gastric
adenocarcinoma, Triple primary cancer
Author: Riki Tenggara,
Lauretta Ariella Sugondo
Journal Code: jpkedokterangg170369
