Abstract
This report describes the successful treatment of quadruple cancer including Bowen's disease in a 71-year-old man who had been given injections of salvarsan, an arsenic compound, for syphilis more than 40 years earlier. Resection of a skin lesion on his chest subsequently confirmed a diagnosis of Bowen's disease, 3 years after which he was operated on for concurrent gastric cancer and sigmoid colon cancer. A fourth cancer was discovered on his left vocal cord 2 weeks after this operation; it was resected 2 years later. A discussion of multiple malignant neoplasms and the possible relationship between arsenic and cancer is presented following this case report.
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References
Moertel CG, Dockerty MB, Baggenstoss AH (1961) Multiple primary malignant neoplasms. Cancer 14:221–230
Warren S, Gates O (1932) Multiple primary tumors; survey of literature and statistical study. Am J Cancer 16:1358–1414
Werthamer S, Jabush M, Schulman J (1961) Multiple primary malignancies. JAMA 175:558–562
Harrison LH, Nordon JM, Resnick MI, Myers RT (1976) Metachronous quadruple malignant neoplasms: a case report and review of the literature. N C Med J 37(5):241–245
Bugher JC (1934) Probability of chance occurrence of multiple malignant neoplasms. Am J Cancer 21:809–824
Chen C-J, Kuo T-L, Wu M-M (1988) Arsenic and cancers. Lancet 1:414–415
Chen C-J, Wang C-J (1990) Ecological correlation between arsenic level in well water and age-adjusted mortality from malignant neoplasms. Cancer Res 50:5470–5474
Hutchinson J (1887) Arsenic cancer. Br Med J 2:1280–1281
Bates MN, Smith AIL Hopenhayn-Rich C (1992) Arsenic ingestion and internal cancers: a review. Am J Epidemiol 135(5):462–476
Schwartz RA (1988) Skin cancer-recognition and management. Springer, Berlin Heidelberg New York, pp 25–35
Graham JH, Helwig EB (1959) Bowen's disease and its relationship to systemic cancer. Arch Dermatol 80:133–159
Andersen SLC, Nielsen A, Reymann F (1973) Relationship between Bowen disease and internal malignant tumors. Arch Dermatol 108:367–370
Marfing TE, Abel MF, Gallagher DM (1987) Perianal Bowen's disease and associated malignancies — results of a survey. Dis Colon Rectum 30:782–785
Thorburn AL (1983) Paul Ehrlich: pioneer of chemotherapy and cure by arsenic (1854–1915). Br J Vener Dis 59:404–405
Lee T-C, Tanaka N, Lamb PW, Gilmer TM, Barrett JC (1988) Induction of gene amplification by arsenic. Science 241:79–81
Heddle R, Bryant GD (1983) Small cell lung carcinoma and Bowen's disease 40 years after arsenic ingestion. Chest 84:776–777
Lees REM, Steel R, Wardle D (1985) Arsenic, syphilis, and cancer of the prostate. J Epidemiol Commun Health 39:227–230
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Murata, K., Iwazawa, T., Takayama, T. et al. Quadruple cancer including bowen's disease after arsenic injections 40 years earlier: Report of a case. Surg Today 24, 1115–1118 (1994). https://doi.org/10.1007/BF01367469
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DOI: https://doi.org/10.1007/BF01367469