Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, BA 1710, Brunei Darussalam.
Singapore Med J. 2010 Oct;51(10):e176-7.
Gastrointestinal cancer is common, and is a significant cause of morbidity and mortality. The synchronous occurrence of two different malignancies is not uncommon, but that of more than two malignancies is extremely rare. Such occurrences often pose diagnostic and therapeutic challenges. We report the case of an elderly man who was previously treated for gastric cancer 13 years ago, and who was later diagnosed with synchronous triple gastrointestinal malignancies consisting of hepatocellular carcinoma, a gastric collision tumour with adenocarcinoma and a large B cell lymphoma. The patient's condition progressed rapidly, and he died four weeks after the diagnosis.
胃肠道癌症很常见，是发病率和死亡率的重要原因。两种不同恶性肿瘤的同时发生并不罕见，但超过两种恶性肿瘤的同时发生极为罕见。这种情况常常带来诊断和治疗上的挑战。我们报告了 13 年前曾因胃癌接受治疗的一位老年男性病例，后来被诊断为同时患有三种胃肠道恶性肿瘤，包括肝细胞癌、胃碰撞瘤伴腺癌和大 B 细胞淋巴瘤。患者病情迅速恶化，在诊断后四周死亡。
