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KMID : 0613320080140020146
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Journal of the Korean Bone and Joint Tumor Soceity
2008 Volume.14 No. 2 p.146 ~ p.151
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Synchronous Double Primary Malignant Neoplasm Consisted of Myxofibrosarcoma of the Forearm and Adenocarcinoma of Rectum
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Chung Kee-Yun
Chun Young-Soo
Han Chung-Soo
Choi Il-Heon
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Abstract
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Multiple primary malignant neoplasm of the combination of the musculoskeletal system and the gastrointestinal system were very rare. A case of synchronous double primary malignant neoplasm consisted of myxofibrosarcoma of forearm and adenocarcinoma of rectum in a 52 year-old man was found. The patient had pain and swelling on forearm for 1 year. Histologically, the lesion on forearm showed myxofibrosarcoma. In systemic evaluation, the adenocarcinoma of rectum was found by the sigmoidoscopy, and metastasis on lung and intracardiac mass were found by the CT scan. We performed surgical excision and pre and postoperative chemotherapy after pathologic confirmation. He died of pulmonary thromboembolism after postoperative 2 months. We report this case of exceedingly rare combination of the musculoskeletal system and the gastrointestinal system.
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KEYWORD
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Multiple primary malignant neoplasm, Synchronous tumor, Myxofibrosarcoma, Adenocarcinoma
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