title: Quadruple cancer including bilateral breasts, Vater's papilla, and urinary bladder: report of a case.
abstract: We herein report a rare case of quadruple carcinoma with heterochronous bilateral breast cancer, cancer of Vater's papilla, and cancer of the urinary bladder, which were all curatively resected. A 62-year-old woman previously underwent right and left modified radical mastectomies heterochronously. Recently, a dilatation of the lower bile duct, diagnosed as cancer of Vater's papilla, was resected by a pancreatoduodenectomy. Hematuria during surgery led to the discovery of a solid bladder tumor. The tumor was resected by a transurethral resection. The histopathologic findings differed for all four lesions. The patient had an uneventful postoperative course and to date has shown no recurrence.
authors: Department of Surgery, Nihon University Nerima Hikarigaoka Hospital, Tokyo, Japan.
authors: H
authors: H
authors: Nakayama
authors: H
authors: H
authors: Masuda
authors: W
authors: W
authors: Ugajin
authors: Y
authors: Y
authors: Nakamura
authors: K
authors: K
authors: Akiyama
authors: K
authors: K
authors: Suzuki
authors: S
authors: S
authors: Amano
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D000231:Adenocarcinoma, Papillary / Q000473:pathology* / Q000601:surgery; D014670:Ampulla of Vater; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery; D002291:Carcinoma, Papillary / Q000473:pathology* / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000473:pathology* / Q000601:surgery; D003138:Common Bile Duct Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008408:Mastectomy; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D016577:Pancreaticoduodenectomy; D001749:Urinary Bladder Neoplasms / Q000473:pathology* / Q000601:surgery