Kamiya T, Ooshita H, Kubota M, Tsutsumi N, Ogura T, Hagihara M, Fujii Y, Aoki S, Yamada T, Miyamoto M
Dept. of Internal Med., Keiyu General Hospital.
Gan No Rinsho. 1990 Oct;36(12):2193-9.
Reported is the case of a 57-year-old male patient, who manifested tarry stool and who had undergone a subtotal gastrectomy at our hospital in 1983 for an early carcinoma, type IIc, which proved to be a well differentiated tubular adenocarcinoma. Three years later, he returned complaining of epigastralgia, although no evidence of a recurrence could be seen. An abdominal ultrasonogram and a CT scan, however, revealed a right renal tumor and he subsequently underwent an operation for the removal of a renal cell carcinoma, a clear cell type. In 1988, he again was readmitted to hospital, this time because he easily became fatigued. An upper GI series and gastroscopy located a polypoid lesion in the remnant stomach. Thus, a total gastric resection was performed, and the lesion was diagnosed as being a well differentiated tubular carcinoma, an early gastric cancer, type I. Triple carcinomas are very rare, and the details of this case are discussed.
报告了一例57岁男性患者的病例。该患者出现黑便，1983年因早期IIc型癌在我院接受了胃次全切除术，病理证实为高分化管状腺癌。三年后，他因上腹部疼痛前来复诊，尽管未发现复发迹象。然而，腹部超声和CT扫描显示右肾肿瘤，随后他接受了肾细胞癌（透明细胞型）切除术。1988年，他再次入院，此次原因是容易疲劳。上消化道造影和胃镜检查发现残胃有息肉样病变。因此，进行了全胃切除术，病变被诊断为高分化管状癌，早期胃癌，I型。三重癌非常罕见，本文讨论了该病例的详细情况。
