Abstract

Multiple primary cancers arising in one organ are not very common; multiple primary cancers occuring in several organs are comparatively rare; and a combination of both these forms is sufficiently unusual to merit recording in the literature. Of 1,664 cases of mammary cancer tabulated by Gross, 1 only two were bilateral in origin, Billroth 2 met with three instances of this kind in 245 mammary cases. According to Nichols, 3 of 685 necropsies for cancer in Montreal hospitals, eighteen revealed initial multiplicity. Kaufman 4 mentions a contribution of Kocher's on the simultaneous primary occurrence of ovarian, breast and axillary cancer. Simultaneous primary cancerous disease of the tongue and the jejunum was observed by Abesser; 5 of the larynx and the thyroid by Tixier; 6 and of the stomach and the uterus by Reutter. 7 Simultaneous, primary sarcoma of the gall-bladder and the uterus is described by Schmincke. 8 Jacob Wolff,

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