1984 Volume 35 Issue 5 Pages 377-383
Nowadays, the case of double cancer is gradually increasing along with the increasing rate of cancer cases which is resulted by the elongation of life time and the development of medical services in the general society.
Recently, we have had a case of lung-laryngeal double cancer. The patient was 86-year-old male and healthy for his whole life. The chief complaints were hoarseness, cough with sputum and dyspnea for six months before the death.
We could diagnose the patient as a case of double cancer by the sputum examination (pulmonary adenocarcinoma) and laryngeal biopsy (squamous cell carcinoma).
The diagnosis was done according to Warren and Gates rule (1932) with the addition of Keitler rule (1918).
The characteristic features of the case were as following:
1) The patient was very old and the risk of the death was relatively high.
2) The starting time of each cancer was nearly simultaneous.
3) Any hereditary factors could not be noticed for the case.