A case of spontaneous regression of advanced gastric cancer.
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.
Lee
Ho Sang
HS
Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea School of Medicine, Seoul, Korea.
Cheung
Dae Young
DY
Kim
Jin Il
JI
Cho
Se Hyun
SH
Park
Soo-Heon
SH
Han
Joon-Yeol
JY
Kim
Jae Kwang
JK
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000473:pathology; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000188:drug therapy; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000473:pathology; D014057:Tomography, X-Ray Computed
D007004:Hypoglycemic Agents