Highlights
The diagnosis of primary malignant tumors is increasingly described with the improvement of life expectancy and the advent of new technologies.
The management must be multidisciplinary and adapted to the condition of each patient. This entity affects elderly people with many comorbidities.
Treatment should be the least aggressive and start with the most aggressive tumor.
The elderly, a family history of neoplasia and smoking appear to be the factors favoring the appearance of multiple synchronous tumors. Our patient was an elderly person and a heavy smoker
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