Not always a distant metastasis: Can be a double maliganancy too

Authors : Prachi , Prachi , Hema Malini Aiyer, Hema Malini Aiyer

DOI : 10.18231/j.ijpo.2021.080

Volume : 8

Issue : 3

Year : 2021

Page No : 403-405

The incidence of double malignancy reported are between 0.3% and 4.3%. The second primary lesion is identified either simultaneously with the primary lesion (synchronous) or after a period of time (metachronous). We report a case in a 63-year-old male presenting with double malignancy with adenocarcinoma of the ascending colon and a pre- sacral Chordoma of which the latter was detected accidentally on imaging. The patient underwent surgical excision of the pre-sacral mass and an exploratory laparotomy with Right Hemicolectomy. The increasing incidence of multiple malignant tumors is a real challenge to both clinicians and pathologists and close attention should be paid to imaging and histologic findings to avoid a misdiagnosis. In addition an early diagnosis is essential to achieve optimal treatment. We believe that the treatment modalities should be carefully tailored for each individual patient diagnosed with a double malignancy.


Keywords: Double malignancy, Ascending colon, Chordoma.


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