Abstract
A case of metachronous multiple cancer in the gingiva-oropharynx and uterus of a 74-year-old female is described. Originally, the patient received treatment for squamous cell carcinoma (S.C.C.: T3N1M0) in 1968. Treatment consisted of 60Co external beam radiation (80 Grys) to the gingiva-oropharynx including the right submandibular region. In 1980, the patient presented with cancer (S.C.C.: T4NOMO) in the same region. It was not possible to determine if the oral cancer was radiation-induced or a recurrence of the previous cancer. The gingiva-oropharynx cancer was treated with 60Co external beam radiation (46.5 Grys), 226radium and 198Au implanting (70 Grys), and it was controlled. Although hysterectomy (uterine cancer: adenosquamous cell carcinoma) was performed on March 13, 1981, the patient died due to metastasis of the uterine cancer on July 12, 1983.