title: Triple synchronous primary gynecologic carcinomas: a case report and review of the literature.
abstract: Double synchronous primaries are known to occasionally occur in gynecologic cancers. Cases of triple or quadruple synchronous primaries, with only 4 case reports in the literature, are extremely rare. The authors report the case of a 49-year-old para 2-0-0-2 woman who presented for surgical management of metastatic ovarian adenocarcinoma diagnosed at an outside institution. On examination of the surgical specimen, 3 synchronous primary carcinomas with multiple histologic features were identified within the ovaries, uterus, and cervix. Although rare, the possibility of triple synchronous primary malignancies should be considered when evaluating gynecologic malignancies.
authors.affiliation: Department of Pathology, NYU Langone Medical Center, New York, NY 10016, USA. halec01@nyumc.org
authors.forename: Christopher Stephen
authors.initials: CS
authors.lastname: Hale
authors.forename: Lili
authors.initials: L
authors.lastname: Lee
authors.forename: Khush
authors.initials: K
authors.lastname: Mittal
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary; D010051:Ovarian Neoplasms / Q000473:pathology* / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery