Three cancers in the renal pelvis,bladder,and colon:A case report  

作　　者：Jing Chen Hua-Yan Huang Hui-Chun Zhou Lin-Xiao Liu Chuang-Fan Kong Quan Zhou Jian-Ming Fei Yuan-Ming Zhu Hu Liu Ye-Chen Tang Cheng-Zhong Zhou 

机构地区：[1]Department of General Surgery,The Second Affiliated Hospital of Jiaxing University,Jiaxing 314000,Zhejiang Province,China [2]Department of Pathology,The Second Affiliated Hospital of Jiaxing University,Jiaxing 314000,Zhejiang Province,China [3]Department of Medical Imaging,The Second Affiliated Hospital of Jiaxing University,Jiaxing 314000,Zhejiang Province,China [4]Department of Urology,The Second Affiliated Hospital of Jiaxing University,Jiaxing 31400,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2024年第2期392-398,共7页世界临床病例杂志

摘　　要：BACKGROUND Multiple primary cancers are rare occurrences that can involve either metachronous or synchronous development.It is particularly rare for an individual to have more than two primary cancers.In this report,we present a case study of an elderly man who was diagnosed with three heterochronous cancers in the renal pelvis,bladder,and colon.CASE SUMMARY On December 30,2014,a 51-year-old Chinese man was admitted to our hospital with complaints of intermittent painless gross hematuria for the preceding week.A computed tomography(CT)scan revealed wall thickening in the left ureter’s upper segment,while a CT urography revealed a left renal pelvis tumor.A successful laparoscopic radical resection of the left renal pelvis tumor was subsequently performed at Shanghai Zhongshan Hospital in January 2015.The pathological findings after the surgery revealed a low-grade papillary urothelial carcinoma of the renal pelvis.The final pathological tumor stage was pT1N0M0.After surgery,this patient received 6 cycles of intravenous chemotherapy with gemcitabine and carboplatin,as well as bladder infusion therapy with gemcitabine.On December 18,2017,the patient was admitted once again to our hospital with a one-day history of painless gross hematuria.A CT scan showed the presence of a space-occupying lesion on the posterior wall of bladder.Cystoscopic examination revealed multiple tumors in the bladder and right cutaneous ureterostomy was performed under general anesthesia on December 29,2017.The postoperative pathological findings disclosed multifocal papillary urothelial carcinoma of the bladder(maximum size 3.7 cm×2.6 cm).The bladder cancer was considered a metastasis of the renal pelvis cancer after surgery.The pathological tumor stage was pT1N0M1.The patient refused chemotherapy after surgery.After another six years,the patient returned on February 28,2023,complaining of periumbilical pain that had lasted six days.This time,a CT scan of the abdomen showed a tumor in the ascending colon,but a subsequent colonoscopy exami

关 键 词：Metachronous primary carcinoma Renal pelvis carcinoma Bladder carcinoma Colon carcinoma Case report 

分 类 号：R737.11[医药卫生—肿瘤] R735.35[医药卫生—临床医学]