A surgically resected case of synchronous quadruple cancer: Lung, esophageal, rectal, and renal cancer

A 77-year-old man was admitted to our hospital because of a tumor shadow in the right middle lung field. CT scan revealed right lung, esophageal, and right renal tumors. Colonoscopy detected a rectal tumor. Right middle lobectomy, esophagectomy, and esophageal reconstruction of the gastric tube thro...

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Published inNihon Kokyuki Geka Gakkai zasshi (Kyoto, 1992) Vol. 25; no. 5; pp. 573 - 577
Main Authors Miyahara, Eiji, Itagaki, Tomoko, Kameda, Akira
Format Journal Article
LanguageJapanese
English
Published The Japanese Association for Chest Surgery 15.07.2011
Subjects
esophageal cancer
lung cancer
multiple cancer
rectal cancer
renal cancer
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Summary:A 77-year-old man was admitted to our hospital because of a tumor shadow in the right middle lung field. CT scan revealed right lung, esophageal, and right renal tumors. Colonoscopy detected a rectal tumor. Right middle lobectomy, esophagectomy, and esophageal reconstruction of the gastric tube through the posterior mediastinum were performed. The pathological diagnosis was adenocarcinoma with mixed subtypes of the lung and moderately differentiated squamous cell carcinoma of the esophagus, respectively. Metastatic squamous cell carcinomas were detected in superior mediastinal and perigastric lymph nodes. Then, a right nephrectomy (pathologically, renal cell carcinoma) and endoscopic resection of the rectal tumor (pathologically, adenocarcinoma in adenoma) were performed. Our case indicates that radical resections were performed safely for synchronous quadruple cancer. He has been well, without any sign of recurrence, for 2 and half years after the right middle lobectomy and esophagectomy.
ISSN:0919-0945
1881-4158
DOI:10.2995/jacsurg.25.573