A Case of Synchronous Triple Cancer of the Bile Duct, Lung, and Kidney Performed Radical Resection

Abstract

A 77-year-old man who was born healthy presented to our hospital because of obstructive jaundice. Close examination revealed distal bile duct cancer, cancer of the right upper lobe of lung, and right renal cancer. Following biliary drainage, he underwent thoracoscopic right upper lobectomy followed by pancreatoduodenectomy with an interval of 1 month. Then laparoscopic right nephrectomy was performed for the renal clear cell carcinoma 3 months after the pancreatoduodenectomy. The lung tumor was moderately differentiated adenocarcinoma (pT1aN0), the bile duct tumor was carcinosarcoma spread via the pancreas (pT3aN0), and the kidney tumor was well-differentiated clear cell carcinoma (pT1a). He finished three radical surgeries over 4 months from the start of treatment. No signs of recurrence were observed clinically as of 2 years after the surgery. He has been followed in our hospital.

Diagnosis of multiple primary cancers increases with the advances in diagnostic instruments and the known increase in malignancies among the elderly. Radical resection is possible by devising a treatment method for each case with the expectation of a good prognosis.