A Case Report on Triple Cancer found in the Autopsy of a Leprosy Patient

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There is a very rare case of triple cancer among the autopsy cases during 1980 in National Leprosarium OKU-KOMYOEN. The case is reported in this article. The patient is a sixty six years old male, whose disease became manifest at twenty two years age. His lepromatous leprosy was treated with Chaulmoogra oil, Promine, TBI and Promizole from twenty five to thirty nine years age and became quiecent. His leprosy was quiecent till his death, and was confirmed in the regular examination.At the time of death, his diseases were diagnosed as renal insufficiency, hepatitis, severe anemia, coronary insufficiency, and the cause of death was bronchopneumonia. He had chronic nephritis, hypertension, enlarged heart, myocardial disturbance, pulmonary tuberculosis and repeated plantar ulcer in his past history.Final diagnosis after the autopsy are as following; triple cancer (renal cell cancer, pancreatic head cancer and prostatic cancer), high grade myloidosis, old pulmonary tuberculosis, old lepromatous changes and miscellaneous changes.Incidence of multiple malignant neoplasma was getting higher during these last few years. But there is neither any case with the same combination as this case nor any reported leprosy case with triple cancer as this case with severe amyloidosis. The review of tendency of incidence of triple cancer is added in discussion of this report.
日本ハンセン病学会の論文