CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Rozh. chir., 2003, roč. 82, č. 11, s. 577-579 |
Asynchronic Triplicate Occurrence of a Neoplastic Disease: Chronic B Lymphatic
Leukemia, Kidney Cancer and Prostate Adenocarcinoma Prošvic P.1, DulíčekP.2, Odrážka K.3, Navrátilová J., Morávek P., Macek P., Veselský Z.1 1 Urologická klinika, přednosta doc. MUDr. P. Morávek, CSc. 2 II. interní klinika – oddělení klinické hematologie, přednosta prof. MUDr. J. Malý, CSc. Klinika onkologie a radioterapie, přednosta doc. MUDr. J. Petera, Ph.D.Fakultní nemocnice a Lékařské fakulty Univerzity Karlovy v Hradci Králové |
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Summary: Authors present a case of three asynchronous malignancies in man working life-long in chemical industry.
Course of diseases and their treatment are described: B chronic lymphatic leukaemia (B-CLL) (age of 55),
conventional clear cell renal carcinoma (CRCC) (age of 61) and adenocarcinoma of prostate (CaP) (age of 72).
B-CLL treatment was chlorambucil for 2 years and follow-up subsequently. CRCC treatment was radical
transperitoneal nephrectomy. Due to locally advanced CaP bilateral orchiectomy and radical external beam
radiotherapy were performed. Patients is alive 30 months without any signs of any malignity. Incidence of
multiple malignancies and particularly triplicities are discussed in this article. Authors point out pertinence of
radical therapeutic approach also in multiple malignancies and oncological screening not only in patients with
heamatological malignancy, but considering it in all tumours.
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