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Triple cancer in liver, esophagus and urinary bladder: indications and problems of hepatectomy.

In patients with multiple cancers and chronic liver damage, it is difficult to decide on the operative procedures. We describe a 70-year-old man with triple cancer: liver, esophageal and urinary bladder. The patient had the complication of chronic hepatitis C and mild liver damage. He received curative resections of all cancers. In patients with multiple cancers, including hepatocellular carcinoma accompanied by liver damage, the treatment strategy should be decided after clarifying the relationship between the staging of multiple cancers and liver function.