Abstract
Multiple primary neoplasms are those primaries which exhibit a different histology, different location and which are present in the same host (33). They may be present at the same time or occur consecutively. These neoplasms should be considered in light of the relationship between host and neoplastic disease. In the interval between the first to the second primary, the patient may be looking disease-free because the host is free of neoplastic disease if we do not consider the metabolic condition of the host. The field of multiple primary neoplasms was extensively reviewed by Severi (1974). Multiple primary tumors can be seen as a malignant predisposition of more than one host tissue (167, 159). Also triple and quadruple primaries have been observed. There are also, less well proven, multiple primary tumors of the same tissue, e.g. of intestinal mucosa. These are known as multicentric tumors. Multiple primaries underly the tumor-host interaction. One primary neoplasm may even metastasize to other primary or its metastasis (7, 214, 68, 212, 20, 127).
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Kaiser, H.E. (1989). Multiple Primary Neoplasms. In: Liotta, L.A. (eds) Influence of Tumor Development on the Host. Cancer Growth and Progression, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2528-1_6
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