耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
同時性4重癌を認めた下咽頭癌例
橋本 美咲子渡邊 潤竹林 宏記朴 秀典仙波 治
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2008 年 101 巻 1 号 p. 33-37

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The frequency of multiple primary cancers in the head and neck area is higher than that in other areas, and has increased in recent years.
We report a case of synchronous quadruple primary cancers in a 68-year-old man. He consulted our department with hypopharyngeal cancer and during systemic work-up, three other cancers were detected: esophagus, lung and stomach. Initially, we chose irradiation therapy for hypopharyngeal and esophageal cancer, and then performed simultaneous resection of lung and stomach cancer. To date, the patient has survived for 44 months without recurrence.
When we determine the appropriate treatment, for multiple cancers it is very important to evaluate the location, stage, and prognosis of each cancer and develop good cooperation with other departments involved in patient care.
We must detect second cancer as soon as possible by systemic work-up and must never forget the possibility of another cancer origins after treatment.
Early detection of additional cancer legions and good cooperation with other departments can improve the survival prognosis and quality of life even in patients with synchronous multiple cancers.

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