ISSN 1392-0138
ISSN 2029-4174 (online)
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2009 m. Nr. 1-2
Multiple primary cancers: a case of successful
treatment
Eduardas ALEKNAVIČIUS, Nadežda LACHEJ-MIKEROVIENĖ, Laura STEPONAVIČIENĖ, Teresė PIPIRIENĖ ŽELVIENĖ
Background. Due to advances in early detection and treatment, oncology patients live far
longer; therefore, the diagnosis of multiple primary cancers is made more often.
Materials and methods. In this report, we present a case of a female who developed
primary ovarian carcinoma and colorectal cancer, breast carcinoma and cancer of ureter
and who was treated successfully with a combined modality treatment during an eighteenyear
period.
Results. Long-term treatment results of multiple primary cancers are still unknown.
Such cancers can occur because of the late sequence of treatment, the influence of lifestyle
factors, environmental exposures, host factors, and combinations of these influences.
The diagnosis of multiple cancers means that a patient will be treated with an aggressive
combined anticancer treatment. Our patient received a combined anticancer treatment
four times. Combined treatment allowed to cure ovarian, breast and rectal cancers in this
patient. However, there is an open question whether such an aggressive treatment may be
related to the occurrence of multiple cancers. It would be difficult to separate the long-term
risk of multiple cancers associated with anticancer therapy from undefined genetic predisposition
or co-carcinogenesis.
Conclusions. 1. Combined treatment is the most efficacious treatment of malignant
tumors. It did not cause severe long-term complications in this case. 2. No resistance to
cytostatics developed due to administration of long-term chemotherapy. 3. The increasing
rate of multiple primary cancers among successfully treated patients allows to maintain
that a constant observation of patients treated for cancer is needed.
Keywords: multiple primary cancers, successful anticancer treatment
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