Abstract

We experienced a case of synchronous triple cancer involving the stomach, bladder and lung. A 67-year-old man was admitted to the hospital for operation of an abdominal aneurysm. With a close examination of gastrofiberscopy before the operation, an early gastric cancer was detected. The patient was operated on for the abdominal aneurysm and gastric cancer in April, 1994. Following the operation, tumors of the bladder were diagnosed by bloody urine. The tumors were resected by endoscopy in July, 1994. Histopathologically the tumors were early bladder carcinoma, transitional cell carcinoma. The third cancer was diagnosed by bloody sputum. With bronchoscopy, an advanced lung cancer (scc) was detected. Pneumonectomy of the right lung was performed in February, 1995. Histologically it was well differentiated squamous cell carcinoma in stage IIIA. The first and second cancer were early cancer, but the third cancer was advanced though all cancers were synchronously detected within one year.

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