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multiple primary malignancy syndrome |
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multiple primary malignancy syndrome Oncology The rare–
< 1% of Pts–finding of 3+ primary malignancies, a 'syndrome' defined by Werthamer–Maximum known MPMs in 1 Pt 6
Multiple primary cancers–Werthamer criteria
1. The malignancies must be primary in different organs
2. Paired-organ–breast, kidney malignancies–synchronous or metachronous are considered to be a single primary
3. Multiple malignant tumors originating in the same organ are viewed as a single primary
4. The lower intestine and uterus–with adnexae, are each considered single organs
5. The malignant nature of the lesions must be confirmed histologically
6. The lesion should be histologically proven to be non-metastatic–this may be impossible
Additional criterion–The malignancy should not have been induced by chemo- or RT
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