Characteristics of synchronous- and metachronous-type multiple primary neoplasms: A study of hospital-based cancer registry in Turkey

Kilciksiz S., Gokce T., Baloglu A., Calli A., Kaynak C., Kilic B., ...More

CLINICAL GENITOURINARY CANCER, vol.5, no.7, pp.438-445, 2007 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 5 Issue: 7
  • Publication Date: 2007
  • Doi Number: 10.3816/cgc.2007.n.032
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.438-445
  • Keywords: breast cancer, cancer registries, larynx cancer, ovarian cancer, student t test, urogential cancer, PRIMARY MALIGNANT NEOPLASMS, 2ND PRIMARY CANCERS, ESOPHAGEAL CANCER, BREAST, TUMORS
  • Dokuz Eylül University Affiliated: Yes


Purpose: The aim of this study was to evaluate the demographic, histologic, and topographic characteristics, and the association of synchronous and metachronous multiple primary neoplasms. Patients and Methods: Five hundred seventy-two multiple primary tumors (n = 286) of 20,895 tumors recorded from 1993 to 2005 by the office of Izmir Cancer Registry at the Izmir Ataturk Training and Research Hospital were analyzed. chi(2) and Student t test were performed. Results: One hundred fifty-eight patients had synchronous tumors whereas 128 had metachronous tumors. Both groups were more frequent among men and among patients aged > 50 years. The distribution of synchronous and metachronous tumors between sex and age groups was similar (P =.462 and P =.479, respectively). Carcinomas were more frequent and histologic compositions of both of the groups were significantly different (P =.009). Pairs of the same topographic origin were significantly more frequent in synchronous tumors (P =.019). The urogenital system was the most frequent location in all groups. The leading tumoral association was between urogenital-urogenital tumors, also. Detailed evaluation of the metachronous group revealed that the most frequent organ associations were of breast-ovary (n = 7) and bladder-larynx (n = 5). Conclusion: Field cancerization in the epithelium, theory of a common clonal origin, or the screening effect might account for the relatively frequent association of urogenital tumors. The association of the tumors of breast-ovary might be related to the endocrine effect. Further studies complying with international rules and using data from different population-based tumor registries are necessary to elucidate site correlation.