A Case of Spontaneous Regression of Advanced Gastric Cancer.
10.3346/jkms.2010.25.10.1518
- Author:
Ho Sang LEE
1
;
Dae Young CHEUNG
;
Jin Il KIM
;
Se Hyun CHO
;
Soo Heon PARK
;
Joon Yeol HAN
;
Jae Kwang KIM
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea School of Medicine, Seoul, Korea. jkkim488@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Advanced Gastric Cancer;
Neoplasm Regression, Spontaneous
- MeSH:
Adenocarcinoma/*diagnosis/pathology;
Aged, 80 and over;
Diabetes Mellitus/drug therapy;
Endoscopy, Gastrointestinal;
Humans;
Hypoglycemic Agents/therapeutic use;
Male;
Stomach Neoplasms/*diagnosis/pathology;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2010;25(10):1518-1521
- CountryRepublic of Korea
- Language:English
-
Abstract:
An 84 yr-old male with a history of nausea and vomiting for 3 weeks was admitted to our hospital. Esopahgogastroduodenoscopy showed the diffuse infiltrative type of gastric cancer encircling from the cardia to the lower body. On abdominal computerized tomography, the gastric wall was diffusely thickened with overlying mucosal enhancement without lymph node involvement. Histologic examination revealed poorly differentiated adenocarcinoma. So surgical resection was planned. However, patient refused all medical care, and then he was discharged. He lived without any medical support and then he revisited our hospital and showed relieved symptoms on the follow-up exam. On esophagogastroduodenoscopy, the gastric mucosa of the body looked normal without any dysplastic change. Abdominal CT revealed a decreased thickening of the gastric wall of the body. The histology from the endoscopic forceps biopsy showed no evidence of malignancy. The patient is alive without any sign of tumor recurrence after 14 months.
