Abstract
A rare case of metachronous triple cancer comprizing a hepatocellular carcinoma, a gastric cancer and a testicular tumor in a 69-year-old man is reported. The patient was admitted to the hospital because of a liver tumor in December 1995. There was a previous history of undergoing a resection of the testicles to treat a seminoma about 29 years before admission. On this admission, he was diagnosed as having multiple hepatocellular carcinomas (S 5, S 8) by ultrasonography (US), CT scan and angiography. At the same time, an endoscopic examination revealed an early gastric cancer. Thereby a partial hepatectomy and an endoscopical mucosal resection were carried out. Histopathological examination revealed moderately differentiated hepatocellular carcinoma, trabecular type, eg, fc (+), fc-inf (-), vp 0, vv 0, z 2 for the hepatocellular carcinoma and well differentiated adenocarcinoma, mly 0. v 0 for the gastric cancer. The patient died from recurrence of the hepatocellular carcinoma 1 year and 9 months after the operation.
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