Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s Sarcoma

Currently, Kaposi’s sarcoma (KS) is treated following the recommendations of international guidelines. These guidelines recommend esophagogastroduodenoscopy/colonoscopy for detecting multicentric KS of visceral lesions. Second primary malignancies (SPMs) are also a common KS complication; however, i...

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Main Authors: Nobuyuki Maruyama, Yuko Okubo, Masato Umikawa, Akiko Matsuzaki, Akira Hokama, Fusahiro Hirano, Tessho Maruyama, Kazuhide Nishihara, Toshiyuki Nakasone, Shoko Makishi, Hiroyuki Nakamura, Naoki Yoshimi
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/4/218
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author Nobuyuki Maruyama
Yuko Okubo
Masato Umikawa
Akiko Matsuzaki
Akira Hokama
Fusahiro Hirano
Tessho Maruyama
Kazuhide Nishihara
Toshiyuki Nakasone
Shoko Makishi
Hiroyuki Nakamura
Naoki Yoshimi
author_facet Nobuyuki Maruyama
Yuko Okubo
Masato Umikawa
Akiko Matsuzaki
Akira Hokama
Fusahiro Hirano
Tessho Maruyama
Kazuhide Nishihara
Toshiyuki Nakasone
Shoko Makishi
Hiroyuki Nakamura
Naoki Yoshimi
author_sort Nobuyuki Maruyama
collection DOAJ
description Currently, Kaposi’s sarcoma (KS) is treated following the recommendations of international guidelines. These guidelines recommend esophagogastroduodenoscopy/colonoscopy for detecting multicentric KS of visceral lesions. Second primary malignancies (SPMs) are also a common KS complication; however, information on their detection and treatment is unfortunately not yet indicated in these guidelines. This paper reports on an 86-year-old man who suffered from quadruple primary malignancies: skin classic KS with colon adenocarcinoma, oral squamous cell carcinoma (maxilla), and well-differentiated stomach adenocarcinoma. Gastric cancer was incidentally detected during esophagogastroduodenoscopy, which was performed to detect visceral KS. We suggest that esophagogastroduodenoscopy/colonoscopy be routinely performed during the follow-up of patients with KS. As SPMs are crucial complications in patients with KS, these malignancies should be detected as early as possible.
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spelling doaj.art-006a744994b049a2910ac884862fd6392023-11-19T21:33:30ZengMDPI AGDiagnostics2075-44182020-04-0110421810.3390/diagnostics10040218Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s SarcomaNobuyuki Maruyama0Yuko Okubo1Masato Umikawa2Akiko Matsuzaki3Akira Hokama4Fusahiro Hirano5Tessho Maruyama6Kazuhide Nishihara7Toshiyuki Nakasone8Shoko Makishi9Hiroyuki Nakamura10Naoki Yoshimi11Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Dermatology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Medical Biochemistry, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Pathology, Ryukyu University Hospital, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Endoscopy, Ryukyu University Hospital, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Oral and Maxillofacial Surgery, Ryukyu University Hospital, 207 Uehara, Nishihara, Okinawa 903-0215, JapanMolecular Microbiology Group, Tropical Biosphere Research Center, University of the Ryukyus, Senbaru 1, Nishihara, Okinawa 903-0213, JapanDepartment of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Oral and Maxillofacial Surgery, Ryukyu University Hospital, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Pathology, Ryukyu University Hospital, 207 Uehara, Nishihara, Okinawa 903-0215, JapanCurrently, Kaposi’s sarcoma (KS) is treated following the recommendations of international guidelines. These guidelines recommend esophagogastroduodenoscopy/colonoscopy for detecting multicentric KS of visceral lesions. Second primary malignancies (SPMs) are also a common KS complication; however, information on their detection and treatment is unfortunately not yet indicated in these guidelines. This paper reports on an 86-year-old man who suffered from quadruple primary malignancies: skin classic KS with colon adenocarcinoma, oral squamous cell carcinoma (maxilla), and well-differentiated stomach adenocarcinoma. Gastric cancer was incidentally detected during esophagogastroduodenoscopy, which was performed to detect visceral KS. We suggest that esophagogastroduodenoscopy/colonoscopy be routinely performed during the follow-up of patients with KS. As SPMs are crucial complications in patients with KS, these malignancies should be detected as early as possible.https://www.mdpi.com/2075-4418/10/4/218kaposi’s sarcomasecond primary malignancyvisceralupper endoscopyesophagogastroduodenoscopycolonoscopy
spellingShingle Nobuyuki Maruyama
Yuko Okubo
Masato Umikawa
Akiko Matsuzaki
Akira Hokama
Fusahiro Hirano
Tessho Maruyama
Kazuhide Nishihara
Toshiyuki Nakasone
Shoko Makishi
Hiroyuki Nakamura
Naoki Yoshimi
Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s Sarcoma
Diagnostics
kaposi’s sarcoma
second primary malignancy
visceral
upper endoscopy
esophagogastroduodenoscopy
colonoscopy
title Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s Sarcoma
title_full Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s Sarcoma
title_fullStr Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s Sarcoma
title_full_unstemmed Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s Sarcoma
title_short Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s Sarcoma
title_sort quadruple multiple primary malignancies early detection of second primary malignancy by esophagogastroduodenoscopy colonoscopy is crucial for patients with classic kaposi s sarcoma
topic kaposi’s sarcoma
second primary malignancy
visceral
upper endoscopy
esophagogastroduodenoscopy
colonoscopy
url https://www.mdpi.com/2075-4418/10/4/218
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