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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

Coexistence of a colon carcinoma with two distinct renal cell carcinomas: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Alexandros E Papalampros, Athanasios S Petrou, Eleftherios I Mantonakis, Konstantinos I Evangelou, Lambros A Giannopoulos, Georgios G Marinos, Athanasios L Giannopoulos
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-134) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

AP, AP, GM and AG were involved in acquiring our patient's history, examinations, participated in his treatment (surgery, hospitalization, and so on) and in the acquisition and interpretation of data. EM and LG participated in writing and revising the manuscript. KE participated in examining the histopathology specimens, reviewing the literature and submitting his report (included in the Discussion) to us. AG was also responsible for the final approval and supervision of the manuscript. All authors read and approved the final manuscript.

Abstract

Introduction

We present the case of a patient with two tumors in his left kidney and a synchronous colon cancer. While coexisting tumors have been previously described in the same kidney or the kidney and other organs, or the colon and other organs, to the best of our knowledge no such concurrency of three primary tumors has been reported in the literature to date.

Case presentation

A 72-year-old man of Greek nationality presenting with pain in the right hypochondrium underwent a series of examinations that revealed gallstones, a tumor in the hepatic flexure of the colon and an additional tumor in the upper pole of the left kidney. He was subjected to a right hemicolectomy, left nephrectomy and cholecystectomy, and his postoperative course was uneventful. Histopathology examinations showed a mucinous colon adenocarcinoma, plus two tumors in the left kidney, a papillary renal cell carcinoma and a chromophobe renal cell carcinoma.

Conclusion

This case underlines the need to routinely scan patients pre-operatively in order to exclude coexisting tumors, especially asymptomatic renal tumors in patients with colorectal cancer, and additionally to screen concurrent tumors genetically in order to detect putative common genetic alterations.

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