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  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
 


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.

        Key words: triplicity – malignancy – chronic lymphatic leukaemia – renal cell carcinoma – adenocarcinoma of prostate
       

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