Abstract: Objective:The implementation of a multidisciplinary team (MDT) approach for palliative treatment of patients with multi-ple primary carcinomas (MPCs) was evaluated in Tianjin Medical University Cancer Institute and Hospital. Methods:A total of 40pa-tients with MPCs who attended the consultation by MDT in our hospital from January 1, 2014to April 21, 2016were analyzed retro-spectively. Clinical data of the 40cancer patients were reviewed. The essential characteristics and results of MDT treatment decisions were summarized and expected outcomes were evaluated.Results:A total of 40cases with MPCs were included in MDT assessment, accounting for 6. 4% of the 629 patients who were handled by the MDT. A total of39MDT decisions were followed up successfully. Among these MDT decisions, 26(65%) were fully implemented,7 (17. 5%) were partially implemented, and 6 (15. 0%) were unimple-mented. Expected outcomes were achieved in25(96. 2%) patients of the fully implemented concordant group,4 (57. 1%) patients of the partially concordant group, and 1 (16. 7%) patient from the unimplemented group. Conclusion: MDT specializing on palliative treat-ment can provide recommendations for standardized individualized comprehensive treatment of patients with MPCs. MDT modality should be further improved and widely used for palliative treatment.