A Patient with Distinct Evidences of Spontaneous Regression and Recurrence of Gastric Cancer for 13 Years |
Seong Eun Yang, Yun Jung Lee, Jin A Lee, Sae Hee Kim, Sung Hee Jung, Anna Kim, Hyeongkug Kim, Hyun Jin Moon, Yong Hun Choi |
Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. yjlee@eulji.ac.kr |
13년간 반복적인 자연 완화와 재발을 보인 위암 환자 |
양성은1, 이윤정1, 이진아1, 김새희1, 정성희1, 김안나1, 김형국1, 문현진1, 최용훈1 |
을지대학교 을지대학병원 내과학교실 |
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Abstract |
Spontaneous regression (SR) of malignancy is a rare phenomenon, especially in patients with gastric cancer. A 77-year-old male, who was already diagnosed with gastric adenocarcinoma by endoscopic biopsy from a private clinic, was referred to our hospital. Despite our strong recommendation, the patient refused surgical therapy. A follow-up endoscopy was performed 3 months later, which revealed that the ulcer had changed into a white scar. Endoscopic biopsy revealed only chronic inflammation. Two and 6 years later, cancer recurred, and SR was confirmed both times, histologically, at the gastric body. The patient is still alive without any gastrointestinal symptoms after 13 years of follow-up. The cause of SR is yet uncertain and there are only a few suggestions of scientific mechanisms. We, herein, report this very rare case of repeated recurrence and SR of gastric cancer without clear cause. |
Key Words:
Spontaneous neoplasm regression, Neoplasm recur, Gastric cancer |
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