A case report of synchronous triple primary malignancies: Diffuse large B-cell lymphoma, rectal adenocarcinoma and hepatocellular carcinoma

A 59-year-old man was admitted to our hospital in August 2020 because of fever with night sweats and weight loss. The patient was eventually diagnosed with synchronous triple primary malignancies: diffuse large B-cell lymphoma (DLBCL), rectal adenocarcinoma and hepatocellular carcinoma (HCC), which...

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Main Authors: Beixuan Qiu, Cheng Lin, Lupeng Wu, Yifei Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.1046878/full
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author Beixuan Qiu
Cheng Lin
Lupeng Wu
Yifei Li
author_facet Beixuan Qiu
Cheng Lin
Lupeng Wu
Yifei Li
author_sort Beixuan Qiu
collection DOAJ
description A 59-year-old man was admitted to our hospital in August 2020 because of fever with night sweats and weight loss. The patient was eventually diagnosed with synchronous triple primary malignancies: diffuse large B-cell lymphoma (DLBCL), rectal adenocarcinoma and hepatocellular carcinoma (HCC), which has not been reported previously. The patient initially received six cycles of R-Gemox chemotherapy targeting DLBCL, the response to the treatment was partial remission. We continued six cycles of R-CHOP therapy, and DLBCL achieved a complete remission to treatment. During R-CHOP chemotherapy, PD-1 inhibitor (Sintilimab) was used to control the disease progression of HCC, which was effective and tolerable. Subsequently, he successfully completed curative intent Dixon operation and right hemihepatectomy. The diagnosis and treatment for like these synchronous triple primary malignancies are a huge challenge, herein we provide our experience in this regard.
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spelling doaj.art-61726a83751a461bb03229b629b32cd12022-12-22T03:03:05ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-12-011210.3389/fonc.2022.10468781046878A case report of synchronous triple primary malignancies: Diffuse large B-cell lymphoma, rectal adenocarcinoma and hepatocellular carcinomaBeixuan Qiu0Cheng Lin1Lupeng Wu2Yifei Li3Department of XingLin General Surgery, First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of Hematology, First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of Hepatobiliary & Pancreatovascular Surgery, First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of XingLin General Surgery, First Affiliated Hospital of Xiamen University, Xiamen, ChinaA 59-year-old man was admitted to our hospital in August 2020 because of fever with night sweats and weight loss. The patient was eventually diagnosed with synchronous triple primary malignancies: diffuse large B-cell lymphoma (DLBCL), rectal adenocarcinoma and hepatocellular carcinoma (HCC), which has not been reported previously. The patient initially received six cycles of R-Gemox chemotherapy targeting DLBCL, the response to the treatment was partial remission. We continued six cycles of R-CHOP therapy, and DLBCL achieved a complete remission to treatment. During R-CHOP chemotherapy, PD-1 inhibitor (Sintilimab) was used to control the disease progression of HCC, which was effective and tolerable. Subsequently, he successfully completed curative intent Dixon operation and right hemihepatectomy. The diagnosis and treatment for like these synchronous triple primary malignancies are a huge challenge, herein we provide our experience in this regard.https://www.frontiersin.org/articles/10.3389/fonc.2022.1046878/fullmultiple primary malignanciesdiffuse large B-cell lymphomarectal cancerhepatocellular carcinomadiagnosistreatment
spellingShingle Beixuan Qiu
Cheng Lin
Lupeng Wu
Yifei Li
A case report of synchronous triple primary malignancies: Diffuse large B-cell lymphoma, rectal adenocarcinoma and hepatocellular carcinoma
Frontiers in Oncology
multiple primary malignancies
diffuse large B-cell lymphoma
rectal cancer
hepatocellular carcinoma
diagnosis
treatment
title A case report of synchronous triple primary malignancies: Diffuse large B-cell lymphoma, rectal adenocarcinoma and hepatocellular carcinoma
title_full A case report of synchronous triple primary malignancies: Diffuse large B-cell lymphoma, rectal adenocarcinoma and hepatocellular carcinoma
title_fullStr A case report of synchronous triple primary malignancies: Diffuse large B-cell lymphoma, rectal adenocarcinoma and hepatocellular carcinoma
title_full_unstemmed A case report of synchronous triple primary malignancies: Diffuse large B-cell lymphoma, rectal adenocarcinoma and hepatocellular carcinoma
title_short A case report of synchronous triple primary malignancies: Diffuse large B-cell lymphoma, rectal adenocarcinoma and hepatocellular carcinoma
title_sort case report of synchronous triple primary malignancies diffuse large b cell lymphoma rectal adenocarcinoma and hepatocellular carcinoma
topic multiple primary malignancies
diffuse large B-cell lymphoma
rectal cancer
hepatocellular carcinoma
diagnosis
treatment
url https://www.frontiersin.org/articles/10.3389/fonc.2022.1046878/full
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