Uchida K, Hoshina A, Nagano M, Matsumoto J, Kawamura J
Department of Urology, Yamada Red Cross Hospital.
Hinyokika Kiyo. 1997 Dec;43(12):899-902.
Herein, we report a case of quadruple cancer arising from the prostate, stomach, rectum and urinary bladder. A 92-year-old man was admitted to our hospital on March, 1996, with complaints of macroscopic hematuria and micturition pain. He had a history of prostate cancer (no details) at the age of 67, and subtotal gastrectomy for gastric cancer (tubular adenocarcinoma, conclusive stage Ia) at the age of 89. He underwent a polypectomy for rectal cancer (well-differentiated adenocarcinoma)2 at the age of 90. There was no evidence of local recurrence or metastasis of these three carcinomas. Cystoscopy revealed multiple papillary tumors which were resected transurethrally. At the same time transrectal needle biopsy of prostate was performed. Pathology revealed transitional cell carcinoma G2 of urinary bladder and well differentiated adenocarcinoma of prostate. The postoperative course was uneventful and the patient has been doing well without recurrence of bladder cancer during the follow-up period of six months.
在此，我们报告一例起源于前列腺、胃、直肠和膀胱的四重癌病例。一名92岁男性于1996年3月因肉眼血尿和排尿疼痛主诉入住我院。他在67岁时有前列腺癌病史（无详细信息），89岁时因胃癌（管状腺癌，确诊为Ia期）接受了胃次全切除术。他在90岁时因直肠癌（高分化腺癌）接受了息肉切除术。这三种癌症均无局部复发或转移的证据。膀胱镜检查发现多个乳头状肿瘤，经尿道切除。同时进行了经直肠前列腺穿刺活检。病理显示膀胱移行细胞癌G2级和前列腺高分化腺癌。术后过程顺利，在六个月的随访期内患者情况良好，无膀胱癌复发。
