J.Jpn. Surg. Soc.. 83(2): 192-195, 1982
Original article
TREATMENT OF DOUBLE PRIMARY CANCER IN THE LUNG AND OTHER SITES
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Department of Surgery, Hyogo Cancer Hospital, Kobe Akio Koga, Noboru Ishii |
Eight patients were successfully treated. In seven of these patients both lung and other site cancers were surgically resected, but one patient with a bronchial adenoid cystic carcinoma after total gastrectomy was treated by means of Linac radiation combined with chemotherapy. Three cases of lung cancer following the resection of lesions of other sites were too advanced to surgically treated because of the far distant metastases in two and old age with cardiopulmonary insufficiency in one.
Conclusions are followed :
1) In general, the second lesion of double primary cancer is prone to be late for surgery or restricted in the method of treatment.
2) It is sometimes difficult to identify the lung cancer as the primary one when the cancers are synchronously found or the lung lesion is the second one.
3) A solitary lung lesion would be appropriate to be resected when the treatment of the first cancer is curable or possibly curable.
4) When double cancers are synchronous and there is some difficulty to compare the degree of malignancy between two, it is advantageous to perform lung surgery first.
5) Blood CEA level is useful as a parameter to know the effect of treatment.
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