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Ann Thorac Surg 1998;65:252
© 1998 The Society of Thoracic Surgeons
Section of Thoracic and Cardiovascular Surgery, St. Joseph Mercy Hospital, Pontiac, Michigan, USA
Department of Pathology, St. Joseph Mercy Hospital, Pontiac, Michigan, USA
Accepted for publication September 2, 1997.
Dr Keshishian, Department of Surgery, St. Joseph Mercy Hospital, 900 Woodward Ave, Pontiac, MI 48321.
Multiple primary cancers of the head, neck, and upper aerodigestive tract have been documented in patients previously treated for oropharyngeal cancer. There generally is no causal relationship established between the different tumors. Two synchronous or metachronous cancers are common, three are unusual, and four are very unusual. We describe the treatment of a patient with tonsillar and synchronous esophageal and pulmonary cancers followed by a tongue cancer over a 6-year period.
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