Three simultaneous primary urologic malignancies iA single patient: A case report and review of the literature.

International Journal of Surgery Case Reports
Ilias HassanAhmed Ameur

Abstract

The simultaneous appearance of several primary cancers is rare. We report the case of a 77-year-old man admitted to the Mohammed V military hospital in Rabat (university hospital) and presenting severe dysuria on the PSA test which was 10.83 ng / ml. The prostate MRI performed revealed a suspected lesion. He had left renal colic associated with hematuria two weeks later. A CT scan of the abdomen and pelvis performed revealed a 14 × 12 mm middle and lower calyx excretory tract tumor on the left and a 27.6 × 26.4 lower right polar kidney tumor enhanced after injection of product from contrast. The prostate biopsy confirmed an adenocarcinoma of the prostate. He first underwent a left nephroureterectomy for the tumor of the excretory tract, followed by radiotherapy combined with hormone therapy for his adenocarcinoma. It was decided to monitor the tumor of the right kidney. The literature contains only a few case reports and reviews of patients with three or more synchronous malignancies. We report the case of a man in whom three different cancers were found over a period of three months. The patient had no significant medical history, such as a family history of cancer or chemotherapy other than old age and chronic smoking. Theref...Continue Reading

References

Nov 26, 2015·Case Reports in Oncology·Casey W WilliamsonParag Sanghvi
Sep 13, 2016·Investigative and Clinical Urology·Ali Feyzullah ŞahinRauf Taner Divrik
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group
Jun 24, 2020·BMC Musculoskeletal Disorders·Zhiqing ZhaoWei Guo

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