title: Synchronous triple early cancers occurring in the stomach, colon and gallbladder.
abstract: We report an unusual case of synchronous triple early cancers of the stomach, gallbladder and sigmoid colon. The patient was a 70-year-old man. Gastrointestinal endoscopy at a medical check-up initially revealed early gastric cancer. A thorough preoperative investigation showed a gallbladder tumour and early colon cancer. Endoscopic mucosal resection was performed for the colon cancer. Microscopically, the specimen showed well-differentiated adenocarcinoma involving the submucosal layer. Distal partial gastrectomy (D1) and simple cholecystectomy with lymph node dissection were also performed. The histopathological diagnosis was well-differentiated adenocarcinoma in the stomach (T1, N0, M0; Stage IA) and poorly differentiated papillary adenocarcinoma (T1, N0, M0; Stage I) in the gallbladder. The patient was doing well with no evidence of recurrence 6 months after surgery.
authors.affiliation: Department of Surgery, Wajima Municipal Hospital, Ishikawa, Japan. masu4581@jpch.jp
authors.forename: Masaya
authors.initials: M
authors.lastname: Tamura
authors.forename: Makoto
authors.initials: M
authors.lastname: Shinagawa
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Funaki
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000231:Adenocarcinoma, Papillary / Q000601:surgery; D000368:Aged; D003110:Colonic Neoplasms / Q000601:surgery*; D005706:Gallbladder Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D013274:Stomach Neoplasms / Q000601:surgery*