Metachronous Triple Genitourinary Tumors in a Single Patient Treated by Partial Nephrectomy, Retropubic Radical Prostatectomy, and Transurethral Resection of Bladder Tumor

Metachronous Triple Genitourinary Tumors in a Single Patient Treated by Partial Nephrectomy, Retropubic Radical Prostatectomy, and Transurethral Resection of Bladder Tumor

A 75-year-old man was referred to our department for an incidentally detected right renal mass which was later treated by partial nephrectomy. Seven years later, a serum PSA level of 5.87ng/ml was detected and a digital rectal examination revealed a tiny, palpable nodule in the left lobe of prostate. The results of the prostate biopsy revealed prostate adenocarcinoma with a Gleason score of 7 (3＋4) in 5 of 12 cores. Retropubic radical prostatectomy was carried out. In follow-up imaging studies, positron emission tomography-computed tomography revealed a 1.3-cm papillary tumor located in the bladder and he underwent transurethral resection. To the best of our knowledge, this the first report of metachronous, triple primary, genitourinary malignant tumors in Korea.

A 75-year-old man was referred to our department for an incidentally detected right renal mass which was later treated by partial nephrectomy. Seven years later, a serum PSA level of 5.87ng/ml was detected and a digital rectal examination revealed a tiny, palpable nodule in the left lobe of prostate. The results of the prostate biopsy revealed prostate adenocarcinoma with a Gleason score of 7 (3＋4) in 5 of 12 cores. Retropubic radical prostatectomy was carried out. In follow-up imaging studies, positron emission tomography-computed tomography revealed a 1.3-cm papillary tumor located in the bladder and he underwent transurethral resection. To the best of our knowledge, this the first report of metachronous, triple primary, genitourinary malignant tumors in Korea.