%0 Case Reports %T Intracranial ependymoma in an adult patient with multiple primary malignancies. %A Thong SY %A Chua B %A Winter C %A Jiwrajka M %J BMJ Case Rep %V 16 %N 8 %D 2023 Aug 29 %M 37643822 暂无%R 10.1136/bcr-2023-254584 %X The incidence of multiple primary malignancies (MPM) is increasing, and therefore, it has become highly important for clinicians to consider the concept of MPM when treating oncology patients. In this case report, we follow the clinical course of a patient diagnosed with a new intracranial lesion, an ependymoma, on a background of MPM. We explore the barriers implicating the delay in her diagnosis, dissect the challenges in managing her disease and emphasise the importance of social determinants in optimising her care.