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Oh SJ, Bae DS, Suh BJ. Synchronous triple primary cancers occurring in the stomach, kidney, and thyroid. Ann Surg Treat Res. 2015;88(6):345-8doi: 10.4174/astr.2015.88.6.345.
Oh, S. J., Bae, D. S., & Suh, B. J. (2015). Synchronous triple primary cancers occurring in the stomach, kidney, and thyroid. Annals of surgical treatment and research, 88(6), 345-8. https://doi.org/10.4174/astr.2015.88.6.345
Oh, Sung Jin, et al. "Synchronous triple primary cancers occurring in the stomach, kidney, and thyroid." Annals of surgical treatment and research vol. 88,6 (2015): 345-8. doi: https://doi.org/10.4174/astr.2015.88.6.345
Oh SJ, Bae DS, Suh BJ. Synchronous triple primary cancers occurring in the stomach, kidney, and thyroid. Ann Surg Treat Res. 2015 Jun;88(6):345-8. doi: 10.4174/astr.2015.88.6.345. Epub 2015 May 14. PMID: 26029681; PMCID: PMC4443267.
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Ann Surg Treat Res. 2015 Jun;88(6):345-8. doi: 10.4174/astr.2015.88.6.345. Epub 2015 May 14.

Synchronous triple primary cancers occurring in the stomach, kidney, and thyroid.

Annals of surgical treatment and research

Sung Jin Oh, Dong Sik Bae, Byoung Jo Suh

Affiliations

  1. Department of Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

PMID: 26029681 PMCID: PMC4443267 DOI: 10.4174/astr.2015.88.6.345

Abstract

We report an unusual case of synchronous triple primary cancer of the stomach, kidney, and thyroid in a 50-year-old male patient. Initial esophagogastroduodenoscopy with biopsy for the medical check-up revealed poorly differentiated adenocarcinoma. We performed an abdominal/pelvic computed tomography scan for staging and incidentally found a 1.7-cm exophytic hypervascular mass in the left kidney. Thyroid ultrasonography showed suspicious malignant nodules suspicious with multiple lymph nodes (LNs) metastasis in the right side of the neck. Subsequent fine needle aspiration biopsy of a nodule and a LN was performed. Cytologic report revealed papillary thyroid carcinoma with lateral LNs metastasis. Our integrate oncology team performed radical subtotal gastrectomy, partial nephrectomy, and total thyroidectomy with modified radical neck dissection. The postoperative pathologic finding was well-differentiated gastric adenocarcinoma (T1N0M0; stage 1A), renal cell carcinoma (T1aN0M0; stage 1), and papillary thyroid carcinoma (T4bN1bM0; stage 4B). He received postoperative a radio-active iodine ablation and is doing well with no recurrence.

Keywords: Renal cell carcinoma; Stomach neoplasms; Synchronous triple primary cancers; Thyroid neoplasms

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