A Case of Triple Primary Cancers in Stomach, Larynx, and Lung

원발성 위암과 후두암, 폐암 병발의 1례

  • Choi, Ju Young (Department of Internal Medicine, Collage of Medicine, Ewha Womans University) ;
  • Chang, Hye Jeong (Department of Internal Medicine, Collage of Medicine, Ewha Womans University) ;
  • Lee, Min Jin (Department of Pathology, Collage of Medicine, Ewha Womans University) ;
  • Sim, Sung Sin (Department of Radiology, Collage of Medicine, Ewha Womans University) ;
  • Ryu, Yon Ju (Department of Internal Medicine, Collage of Medicine, Ewha Womans University) ;
  • Moon, Jin Uk (Department of Internal Medicine, Collage of Medicine, Ewha Womans University) ;
  • Lee, Jin Hwa (Department of Internal Medicine, Collage of Medicine, Ewha Womans University) ;
  • Chun, Eun Mi (Department of Internal Medicine, Collage of Medicine, Ewha Womans University) ;
  • Chang, Jung Hyun (Department of Internal Medicine, Collage of Medicine, Ewha Womans University)
  • 최주영 (이화여자대학교 의과대학 내과학교실) ;
  • 장혜정 (이화여자대학교 의과대학 내과학교실) ;
  • 이민진 (이화여자대학교 의과대학 병리과학교실) ;
  • 심성신 (이화여자대학교 의과대학 진단영상의학과학교실) ;
  • 류연주 (이화여자대학교 의과대학 내과학교실) ;
  • 문진욱 (이화여자대학교 의과대학 내과학교실) ;
  • 이진화 (이화여자대학교 의과대학 내과학교실) ;
  • 천은미 (이화여자대학교 의과대학 내과학교실) ;
  • 장중현 (이화여자대학교 의과대학 내과학교실)
  • Received : 2006.03.10
  • Accepted : 2006.08.07
  • Published : 2006.09.30

Abstract

A multiple primary malignant tumor is a disease mainly encountered in the of the older age groups. Attempts should be made to rule out a second primary malignant neoplasm in the elderly patients with unusual signs and symptoms. We encountered a case of a 67-year-old male with triple primary malignant tumors of the stomach, larynx, and lung. The patient had been treated with a subtotal gastrectomy for early gastric cancer in 1991 and a Laser laryngectomy for the laryngeal squamous cell carcinoma in 2003. In 2005, lung cancer was found with the biopsy revealing an adenosquamous carcinoma. Systemic chemotherapy was performed.

다발성 원발성 악성종양은 최근 발생 빈도가 증가하고 있으며 이는 암의 진단 방법의 개선 및 인구의 고령화, 유해물질에 대한 노출증가에 기인한다. 국내에서도 다발성 원발성 악성종양에 대한 연구가 진행되어왔으며, 김등, 윤등이 보고하였다. 그러나 삼중복암의 발생하는 빈도는 매우 낮은 것으로 보고되어있다. 저자들은 이화여대 동대문 병원 내과에 입원한 다발성 원발성 위암, 후두암, 폐암 환자의 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

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