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Updated: May 18, 2026

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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
Multiple metachronous malignancies, one patient with three primary malignancies
Sangeetha Jayaraman1, Somesh Balakrishnan, Devaji Rao
1St Isabel's hospital, Chennai, India.
The Indian Journal of Surgery
|October 2, 2012
Summary
Secondary cancers can develop after initial cancer treatment, particularly with hematological malignancies. Genetic and environmental factors likely influence the occurrence of these metachronous malignancies.
Area of Science:
- Oncology
- Cancer Research
- Medical Science
Background:
- The development of secondary primary cancers following initial cancer treatment is a recognized phenomenon.
- This occurrence is notably common in patients with hematological malignancies.
- While various etiological factors are proposed, conclusive evidence remains elusive.
Purpose of the Study:
- To present a clinical case of a patient diagnosed with three distinct primary malignancies.
- To contribute to the understanding of metachronous malignancy development.
- To highlight the complexity of secondary cancer etiology.
Main Methods:
- Case report presentation.
- Review of patient's medical history and diagnostic workup.
- Discussion of potential contributing factors to metachronous malignancies.
Main Results:
- The case involves a patient with three primary malignancies.
- The development of these malignancies may be influenced by a combination of factors.
- Specific correlations, such as tamoxifen and endometrial cancer, and radiotherapy and angiosarcoma, are noted but not universally applicable.
Conclusions:
- Metachronous malignancies, especially following hematological cancers, are complex.
- Genetic and environmental factors appear to play a significant role in their occurrence.
- Further research is needed to elucidate the precise mechanisms driving secondary cancer development.
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