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Synchronous Detection of Dual Neoplastic Malignant Disease: Adenocarcinoma of the Caecum and Renal Cell Carcinoma | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Synchronous Detection of Dual Neoplastic Malignant Disease: Adenocarcinoma of the Caecum and Renal Cell Carcinoma

Massimo Bolognesi1* and Diletta Bolognesi2
1Department of Internal General Medicine–Primary Care, ASL della Romagna–District of Cesena, Via Ungaretti 494 47521 Cesena, Italy
2Department of Territorial Medicine, ASL della Romagna–District of Cesena, Via Lambruschini 307 47521 Cesena, Italy
Corresponding Author : Massimo Bolognesi
Department of Internal General Medicine
ASL della Romagna District of Cesena
Via Lambruschini 307 47521 Cesena, Italy
Tel: +390547303240
E-mail: [email protected]
Received May 15, 2014; Accepted June 28, 2014; Published June 30, 2014
Citation: Bolognesi M, Bolognesi D (2014) Synchronous Detection of DualNeoplastic Malignant Disease: Adenocarcinoma of the Caecum and Renal Cell Carcinoma. J Clin Case Rep 4:377. doi:10.4172/2165-7920.1000377
Copyright: © 2014 Bolognesi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Background: Primary cancer may occur synchronously in two different organs.The presence of a renal primary cancer discovered by chance during staging prior to surgery of another cancer (caecum-colon) is not as rare an event as is believed. In this case report the authors report an interesting case of double malignancy in which a patient was struck by two separate carcinomas, carcinoma of the caecum and renal cell carcinoma. Case report: A 59-year-old male underwent screening with faecal occult blood test (FOBT) for colorectal cancer. The resulting positive test of which required a colonoscopy indicated the malignancy of the caecum-colon. Renal cell carcinoma was detected incidentally through Computed Tomography (CT) during preliminary investigations for the staging of the disease prior to surgery. The patient subsequently underwent simultaneous, radical, right nephrectomy and hemicolectomy. Both tumours were confirmed in pathologic evaluation, revealing chromophobe renal cell carcinoma and caecum- right colon adenocarcinoma. Conclusion: In conclusion, the elevated frequency of coexisting synchronous renal and colonic carcinomas, recommends routine use of preoperative imaging studies, in order to rule out coexistent, asymptomatic malignant lesions in patients with colorectal cancer.


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