Abstract
We herein report a rare case of quadrule carcinoma with heterochronous bilateral breast cancer, cancer of Vater’s papilla, and cancer of the urinary bladder, which were all curatively resected. A 62-year-old woman previously underwent right and left modified radical mastectomies heterochronously. Recently, a dilatation of the lower bile duct, diagnosed as cancer of Vater’s papilla, was resected by a pancreatoduodenectomy. Hematuria during surgery led to the discovery of a solid bladder tumor. The tumor was resected by a transurethral resection. The histopathologic findings differed for all four lesions. The patient had an uneventful postoperative course and to date has shown no recurrence.
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Nakayama, H., Masuda, H., Ugajin, W. et al. Quadruple cancer including bilateral breasts, Vater’s papilla, and urinary bladder: Report of a case. Surg Today 29, 276–279 (1999). https://doi.org/10.1007/BF02483022
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DOI: https://doi.org/10.1007/BF02483022