title: [A case of quadruple cancers of esophagus, stomach, lung and buccal mucosa improving the quality of life by loco-regional cancer therapy].
abstract: The patient is an 86-year-old man who was presented with right submandibular mass and tarry stool. He was diagnosed having right buccal carcinoma with right cervical lymph node metastasis, gastric cancer with double lesions, and suspected right superior lung cancer by endoscopy and computed tomography. We started with an operation for the right buccal carcinoma. After the operation, superficial-esophageal carcinoma was found. Due to his old age and a lack of physical strength in the operation, we performed an endoscopic mucosal resection for esophageal cancer and argon plasma coagulation for gastric cancer. Symptomatic therapy was only performed for lung cancer. He died from lung cancer 18 months later. However, he had a good quality of life during the progress without recurrence, and the gastric cancer was also controllable without symptoms. It was difficult to decide the treatment for duplicated multiple organ cancers caused by numerous factors such as in our case. We assume that patient's quality of life is the most appropriate factor to be considered in selecting the treatment for elderly patients.
authors.affiliation: Dept. of Surgery, Kinki Central Hospital.
authors.forename: Taro
authors.initials: T
authors.lastname: Aoki
authors.forename: Kenji
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Hisanori
authors.initials: H
authors.lastname: Hatano
authors.forename: Hajime
authors.initials: H
authors.lastname: Hirose
authors.forename: Jung Hoo
authors.initials: JH
authors.lastname: Moon
authors.forename: Takamichi
authors.initials: T
authors.lastname: Komori
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Kiyonori
authors.initials: K
authors.lastname: Nishioka
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Uemura
authors.forename: Tadashi
authors.initials: T
authors.lastname: Kaneko
mesh_terms: D000369:Aged, 80 and over; D004938:Esophageal Neoplasms / Q000628:therapy*; D006801:Humans; D008175:Lung Neoplasms / Q000628:therapy*; D008207:Lymphatic Metastasis; D008297:Male; D009061:Mouth Mucosa; D009062:Mouth Neoplasms / Q000601:surgery*; D009378:Neoplasms, Multiple Primary / Q000628:therapy*; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000628:therapy*