Abstract
Multiple synchronous primary malignancies have been reported since the 19th century. A number of proposed theories as to the predisposing factors have been discussed. The criteria to diagnose multiple primary malignancies have been revised by Warren and Gates. We hereby present a case of an asymptomatic individual detected with a synchronous hepatocellular carcinoma and a renal cell carcinoma, its presentation, diagnosis, and the management. The occurrence of synchronous hepatocellular carcinoma with renal cell carcinoma is very rare and only a few cases have been reported. Synchronous extrahepatic primary malignancies have been reported in a few studies across the world though with a varied incidence rate. The occurrence seems to be in the older age group without gender differentiation. The extrahepatic malignancies were more common in cirrhotic livers though the overall survival does not differ between patients with hepatocellular carcinoma alone and hepatocellular carcinoma with synchronous extrahepatic malignancies.
References
Hu NC, Hsieh SC, Chen TJ, Chang JY (2009) Multiple primary malignancies including colon, stomach, lung, breast, and liver cancer: a case report and literature review. Chin Med J 122:3091–3093
Garcia JH, Coehlo GR, Cavalcante FP, Valenca JT Jr, Brasil IR, Cesar-Borges G et al (2007) Synchronous hepatocellular carcinoma and renal cell carcinoma in a liver transplant recipient: a case report. Transplantation 84:1713
Beisland C, Talleraas O, Bakke A, Norstein J (2006) Multiple primary malignancies in patients with renal cell carcinoma: a national population-based cohort study. BJU Int 97:698–702
Nzeako UC, Goodman ZD, Ishak KG (1994) Association of hepatocellular carcinoma in North American patients with extrahepatic primary malignancies. Cancer 74:2765–2771
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Shetty, G.S., Bhalla, P., Desai, S.M. et al. Synchronous Hepatocellular Carcinoma with Renal Cell Carcinoma: A Case Report and Review of Literature of Multiple Synchronous Primary Malignancies. Indian J Surg 75 (Suppl 1), 290–292 (2013). https://doi.org/10.1007/s12262-012-0684-4
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DOI: https://doi.org/10.1007/s12262-012-0684-4