Double gynecologic
cancer (primary
cancers in two organs) is relatively rare. However, triple gynecologic
cancer (primary
cancers in three organs) is extremely rare. We experienced a case of triple
cancer, with primary cervical, endometrial and
ovarian cancers, each showing different histopathological features. A 50-year-old woman with a preoperative diagnosis of
cervical cancer stage Ib1 with a pathological diagnosis of
mucinous adenocarcinoma underwent radical
hysterectomy. The pathological diagnoses of the extracted masses were
endometrioid adenocarcinoma in the uterine corpus and serous
adenocarcinoma in the left ovary. Consequently, triple
cancer was diagnosed. After the operation, six cycles of a
paclitaxel/
carboplatin regimen were administered, and no relapse of the
cancers has been observed to date. To our knowledge, this is only the second case report in the international literature of concurrent gynecologic triple
cancers of epithelial origin; that is, invasive cervical, endometrial and
ovarian cancers, each with different histopathological features.