[Spontaneous remission of visceral metastases of hypernephroma after nephrectomy. Description of a case and review of pathogenetic hypotheses].
We describe an absolutely spontaneous regression of visceral metastases from a renal carcinoma, following nephrectomy, in a 46 years old patient, who is at present in a complete uninterrupted remission for 39 months. After a literature review we point out the rarity of this event and emphasize its absolute spontaneity. Moreover, we suggest some considerations about the possible pathogenetic mechanisms of this unexpectedly positive outcome. Between these, because of the strongly positive psychologic attitude of the patient, the psycho-neuro-immunologic one is suggestive.
Rossi
A
A
Dipartimento di Medicina interna e Terapia medica, Università, IRCCS S. Matteo, Pavia.
Gobbi
P G
PG
Foresti
G
G
D'Andrea
F
F
Rutigliano
L
L
Bertoloni
D
D
Pieresca
C
C
Grignani
G
G
Marucchi
G
G
D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D002292:Carcinoma, Renal Cell / Q000175:diagnosis; D006801:Humans; D007580:Jejunal Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D007680:Kidney Neoplasms / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D009365:Neoplasm Regression, Spontaneous; D009392:Nephrectomy; D011859:Radiography; D012540:Scapula; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*
Remissione spontanea di metastasi viscerali da ipernefroma in seguito a nefrectomia. Descrizione di un caso e rassegna delle ipotesi patogenetiche.