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Ann Thorac Surg 1982;33:324-332
© 1982 The Society of Thoracic Surgeons

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Articles

Multiple Primary Carcinomas of the Head, Neck, and Lung

From the Department of Surgery, Section of Thoracic and Cardiovascular Surgery, Louisiana State University School of Medicine, the Charity Hospital of Louisiana at New Orleans, and the New Orleans Veterans Administration Hospital, New Orleans, LA.

Accepted for publication April 29, 1981.

^* Address reprint requests to Dr. Schechter, LSU Medical Center, Room 753, 1542 Tulane Ave, New Orleans, LA 70112.

The case histories of 8,956 patients treated for primary malignancies arising in the lung, head and neck, or both were reviewed. Eighty-five (21%) of 406 patients with primary bronchogenic malignancy associated with neoplasms at other sites had head and neck malignancies; they comprise 0.9% of the total and form the basis of this report. The head and neck malignancy preceded bronchogenic carcinoma in 70 patients; bronchogenic carcinoma occurred first in 8 patients; and malignancies occurred in both sites synchronously in 7 patients.

Case histories and tabular analysis of pathology, social history, time interval between lesions, treatment, and survival are presented. A strong association between heavy cigarette smoking, alcoholism, and multicentric respiratory tract malignancies is noted. Critical analysis supports aggressive treatment of each lesion as a separate solitary primary malignancy.

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