TITLE:
Multiple Synchronous Tumours: A Peculiar Clinical Case
AUTHORS:
Maria Leitão, Tiago Alpoim, Manuela Machado
KEYWORDS:
Gastric Cancer, Multiple Primary Neoplasms, Synchronous
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.10 No.7,
July
24,
2019
ABSTRACT: Background: Due to improvements in diagnosis, the better outcomes of oncological
patients and the increase in the average age, the incidence of synchronous
tumours is likely to increase. Aim: To reflect on the challenges of a case with multiple integrated
diagnostic and therapeutic approaches and to bring to consideration the
increasing prevalence of similar situations. Case Presentation: In this clinical case, the authors describe the evolution of an asymptomatic patient with several synchronous
tumours (a GEJ primary adenocarcinoma, a low grade urothelial carcinoma in situ, a localized squamous cell lung
carcinoma and 2 IPMNs). Conclusion: The challenge of this case lies in
the difficult diagnostic approach, the assembly of a multidisciplinary and
time-sensitive treatment plan and the individualized follow-up, due to lack of
guidelines. More research is needed in this area.