A Patient with Distinct Evidences of Spontaneous Regression and Recurrence of Gastric Cancer for 13 Years.
10.4235/jkgs.2012.16.3.149
- Author:
Seong Eun YANG
1
;
Yun Jung LEE
;
Jin A LEE
;
Sae Hee KIM
;
Sung Hee JUNG
;
Anna KIM
;
Hyeongkug KIM
;
Hyun Jin MOON
;
Yong Hun CHOI
Author Information
1. Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. yjlee@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Spontaneous neoplasm regression;
Neoplasm recur;
Gastric cancer
- MeSH:
Adenocarcinoma;
Aged;
Biopsy;
Cicatrix;
Endoscopy;
Follow-Up Studies;
Humans;
Inflammation;
Male;
Neoplasm Regression, Spontaneous;
Recurrence;
Stomach Neoplasms;
Ulcer
- From:Journal of the Korean Geriatrics Society
2012;16(3):149-152
- CountryRepublic of Korea
- Language:Korean
-
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.
