title: Triple synchronous gastrointestinal malignancies: a rare occurrence.
abstract: Gastrointestinal cancer is common, and is a significant cause of morbidity and mortality. The synchronous occurrence of two different malignancies is not uncommon, but that of more than two malignancies is extremely rare. Such occurrences often pose diagnostic and therapeutic challenges. We report the case of an elderly man who was previously treated for gastric cancer 13 years ago, and who was later diagnosed with synchronous triple gastrointestinal malignancies consisting of hepatocellular carcinoma, a gastric collision tumour with adenocarcinoma and a large B cell lymphoma. The patient's condition progressed rapidly, and he died four weeks after the diagnosis.
authors.affiliation: Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, BA 1710, Brunei Darussalam. chongvuih@yahoo.co.uk
authors.forename: V H
authors.initials: VH
authors.lastname: Chong
authors.forename: A
authors.initials: A
authors.lastname: Idros
authors.forename: P U
authors.initials: PU
authors.lastname: Telisinghe
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000401:mortality; D000368:Aged; D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis* / Q000401:mortality; D018450:Disease Progression; D017809:Fatal Outcome; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000401:mortality; D006801:Humans; D016393:Lymphoma, B-Cell / Q000175:diagnosis* / Q000401:mortality; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000401:mortality; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000401:mortality; D014057:Tomography, X-Ray Computed