三個腫瘤集於一身

潘綱凡、李淑文、蕭毅君、賴昱維、黃建榮、薛又仁

台北市聯合醫院仁愛院區 外科部 泌尿外科

A male patient with metachronous triple cancers of liver,kidney and prostate

Gary K. Pan, Shu-Wen Li, Yi-Chun Hsiao, Yu-Wei Lai, Andy C. Huang, Thomas Y. Hsueh

Division of Urology, Department of Surgery, Taipei City Hospital renai Branch, Taipei,

Purpose:

Triple cancer is rare. First documented case of its kind was published in 2002.

Case presentation:

The 78-year-old man's left renal pelvis has a history of Moderately differentiated hepatocellular carcinoma (Edmondson and Steiner's grade: G II), 1.8 cm at S7, and 1.7 cm at S3 tip, s/p hepatectomy over S7+S3 and cholecystectomy on 2020/06/03.

He was admitted due to AKI.Echogram and CT showed left hydronephrosis and hydroureter.Biopsy was done and Non-invasive low grade papillary urothelial cancer was diagnosed.He also received TRUS biopsy due to elevated PSA. Prostate cacner was found and MRI showed T2cN0M0.He recived laparoscopic nephroureterectomy on 112/09/22 and planned to receive radiotherapy for prostate cancer.

Conclusion:

Rare is triple cancer.

Using the literature as a guide, we address the potential causes of the triple malignancies in this instance.