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박홍배(Hong Bae Park),김순호(Soon Ho Kim),여향순(Hyang Soon Yeo),오필석(Phill Seok Oh),이상석(Sang Seok Lee),김종관(Jong Kwan Kim) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3
Double primary cancer is defined as the case of primary multiple tumors of different site origins, which are different histologically in each other. We experienced a 55-year old man who had indigestion for 1 month. On physical examination, soft palate ulcer was detected, so biopsy was done under laryngoscope. Gastrofiberscopy shows nodulo-ulcerative enlarged ampulla of vater and then, biopsy was done. Its result were soft palate squamous cell carcinoma and ampulla of vater adenocarcinoma. For its great rarity, we report this case with view of literature. The absolute number of reported cases of double primary malignant tumors has increased in recent years by means of more developed diagnostic procedure. So, every effort should be made to discover other occult malignancies in patient who is being detected for a tumor and especially panendoscopies (gastrofiberoptic endoscopy, laryn- goscopy, bronchoscopy) in all cases of carcinoma of upper aerodigestive system play a vital part in a complete evaluation of all such cases, especially soft palate carcinoma.