Abstract

In a recent 9-year period from January 1989 to December 1997, a series of 407 patients with colorectal carcinoma were operated on at the hospital, and 38 (9.3%) patients of them had cancers of the other organs. Clinicopathological study was carried out between patients groups with and without cancers of other organs. There was no significant difference in the clinicopathological features between two groups. Gastric carcinoma was the most common among cancers of other organs. In females, uterus cancer and breast cancer were seen often, which were accompanied by the left-sided colorectal carcinoma. There were 13 cases of synchronous and 25 cases of metachronous double cancer, including 22 cases in which colorectal cancer was preceded by other organ cancer. Rectal carcinoma was most frequently seen in regard to location of colorectal carcinoma. Operative results were satisfactory as long as each cancer was successfully resected. Double cancer has been increasing in patients with cancer after detection of the first cancer, and hence the possible association of third or forth neoplasm can be thought. It is especially important to pay attention to association of left-sided colorectal cancer in female patients after operation for uterus or breast cancer.

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