title: Multiple synchronous primary neoplasms of the breast, colon and rectum after surgery for endometrial cancer: A case report.
abstract: BACKGROUND
  Endometrial cancer survivors exhibit an increased incidence of subsequent neoplasms.
  
  
  METHODS
  We present a patient with a history of endometrial cancer who, 3 years after surgery and radiotherapy, developed synchronous neoplasms of the breast, colon and rectum. The patient underwent abdominoperineal resection, a limited right colectomy, and excision of the breast tumour and axillary lymph node dissection. 18 months after surgery, there has been no disease recurrence.
  
  
  CONCLUSIONS
  Multiple primary malignancies represent 16% of new cancer diagnoses. Research on subsequent malignancies after endometrial cancer has shown an increase in risk in colorectal, urinary bladder, lung and breast primaries.
  
  
  CONCLUSIONS
  This case report illustrates the need for physicians to be aware of and counsel patients on the risk of subsequent cancers on endometrial cancer survivors.
authors.affiliation: First Department of Surgery, Tzaneio General Hospital, 1 Afentouli & Zanni, GR-18536 Piraeus, Greece.
authors.forename: Charalampos
authors.initials: C
authors.lastname: Markakis
authors.forename: Athanasios
authors.initials: A
authors.lastname: Marinis
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Dikeakos
authors.forename: Paraskevas
authors.initials: P
authors.lastname: Grivas
authors.forename: Mavroudis
authors.initials: M
authors.lastname: Voultsos
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Liarmakopoulos
authors.forename: Patritsia
authors.initials: P
authors.lastname: Zervogiannakou
authors.forename: Spyridon
authors.initials: S
authors.lastname: Rizos
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