Abstract
The incidence of multiple primary tumours increases with age and due to multiple other factors as environmental and genetic predisposition. The authors describe a case of a 77-year-old female patient with diagnosis in September 2009 of colon mucinous adenocarcinoma. She was submitted to surgery, considered R1 and adjuvant chemotherapy. Six months after treatment she had abdominal recurrence on a nodular lesion in peritoneal fat. The patient was submitted to surgery and did multiple courses of systemic treatment. She underwent cytoreductive surgery with hyperthermic chemotherapy, too. In December 2014 she presented a nodular lesion on the bladder and after excision, the histology confirmed a high-grade transitional cell carcinoma and she maintains treatment with endovesical BCG instillations. After that, she had no evidence of peritoneal disease progression. Besides the bad prognosis associated to peritoneal disease, our case report describes a long survival (5 years with no disease progression) in a patient with high risk at diagnosis to peritoneal recurrence. This case shows the importance of multimodal approach and the impact of locoregional treatment in localized metastatic disease.
Highlights
The incidence of multiple primary tumours increases with age and there are currently more cases reported, because of advances in treatment that lead to an increased in overall survival, and because of better accuracy of diagnostic modalities that increases the rate of diagnosis
The incidence of multiple primary tumours increases with age and due to multiple other factors as environmental and genetic predisposition
The authors describe a case of a patient with recurrent peritoneal metastasis of mucinous adenocarcinoma of ascending colon, submitted to multimodal treatment with stable disease after 5 years and a transitional cell bladder carcinoma that is currently with no evidence of disease
Summary
The incidence of multiple primary tumours increases with age and there are currently more cases reported, because of advances in treatment that lead to an increased in overall survival, and because of better accuracy of diagnostic modalities that increases the rate of diagnosis.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
