SYNCHRONOUS TRIPLE MALIGNANCY – A RARE CASE REPORT

Abstract

The occurrence of multiple primary (triple synchronous) malignant neoplasms are rare. The 
exact aetiology is unknown and the management is complex. We describe a previously 
healthy elderly male who presented with breathlessness and difficulty in passing urine. 
Imaging revealed three separate tumours in prostate, lung and incidentally in oropharynx. All 
three sites underwent individual histopathological examination. The patient was treated 
initially with a combination of chemotherapy and hormonal therapy and later with external 
beam radiotherapy for oropharyngeal lesion. The prognosis of such patients is poor. Our 
patient expired with a survival of 16 months.