Abstract
This paper presents a rare case of poorly differentiated adenocarcinoma of the larynx. The patient was 59-year-old man who had been surgically treated for mucinous adenocarcinoma of the stomach in 1971. In 1988, he developed transitional cell carcinoma of the urinary bladder and adenocarcinoma of the larynx and both lesions were surgically treated. Vertical partial laryngectomy was conducted for the laryngeal lesion. The patient has been disease free for 25 months. The combination of the three primaries seen in this case is a very rare condition. A brief review of literature was given.