Štyri synchrónne primárne malignity u jedného pacienta

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Autoři: M. Mišánik ¹; M. Grajciar ¹; I. Daňová ¹; D. Musová ¹; J. Miklušica ¹; K. Tobiášová ²; M. Smolár ¹
Působiště autorů: Clinic of General, Visceral, and Transplant Surgery, Jessenius Faculty of, Medicine, Martin, Comenius, University Bratislava, Slovak Republic ¹; Department of Pathological, Anatomy, Jessenius Faculty, of Medicine, Martin, Comenius University, Bratislava, Slovak Republic ²
Vyšlo v časopise: Rozhl. Chir., 2025, roč. 104, č. 2, s. 55-60.
Kategorie: Kazuistika
doi: https://doi.org/10.48095/ccrvch202555

Souhrn

Mnohopočetná primárna malignita je definovaná ako výskyt dvoch a viacerých primárnych malignít u jedného pacienta. Hoci ide o raritnú situáciu, jej výskyt sa v poslednej dekáde zvyšuje. Pacienti s onkologickým ochorením majú až o 20 % vyššie riziko vzniku nového primárneho onkologického ochorenia oproti bežnej populácii. Podľa časového intervalu medzi diagnostikou jednotlivých malignít rozdeľujeme mnohopočetné prípady rakoviny na synchrónne a metachrónne. Diagnóza štyroch synchrónnych malignít je mimoriadne zriedkavá. V našej kazuistike prezentujeme pacienta so synchrónne sa vyskytujúcim adenokarcinómom céka, adenokarcinómom hepatálnej flexúry, svetlobunkovým karcinómom pravej obličky a feochromocytómom pravej nadobličky.

Klíčová slova:

feochromocytóm – kolorektálny karcinóm – viacnásobné primárne malignity – štvornásobný adenokarcinóm – karcinóm obličky

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Martin Grajcar, MD

Clinic of General, Visceral and Transplant Surgery

Jessenius Faculty of Medicine Comenius University Bratislava

Kollárova 2

036 01 Martin

Slovak Republic

martingrajciar@gmail.com

ORCID of author

M. Smolár 0000-0002-7381-5513