title: Triple cancer in liver, esophagus and urinary bladder: indications and problems of hepatectomy.
abstract: In patients with multiple cancers and chronic liver damage, it is difficult to decide on the operative procedures. We describe a 70-year-old man with triple cancer: liver, esophageal and urinary bladder. The patient had the complication of chronic hepatitis C and mild liver damage. He received curative resections of all cancers. In patients with multiple cancers, including hepatocellular carcinoma accompanied by liver damage, the treatment strategy should be decided after clarifying the relationship between the staging of multiple cancers and liver function.
authors.affiliation: Department of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan. hnakayam@med.nihon-u.ac.jp
authors.forename: Hisashi
authors.initials: H
authors.lastname: Nakayama
authors.forename: Tadatoshi
authors.initials: T
authors.lastname: Takayama
authors.forename: Kazuto
authors.initials: K
authors.lastname: Inoue
authors.forename: Tokio
authors.initials: T
authors.lastname: Higahi
authors.forename: Yuuhi
authors.initials: Y
authors.lastname: Hayashi
mesh_terms: D000368:Aged; D004938:Esophageal Neoplasms / Q000453:epidemiology / Q000601:surgery*; D004945:Esophagoscopy; D006498:Hepatectomy; D019698:Hepatitis C, Chronic / Q000453:epidemiology; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000453:epidemiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D001749:Urinary Bladder Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*