title: Does St. John's Wort cause regression in gastrointestinal system adenocarcinomas?
abstract: St. John's Wort (SJW) is an old herb which has long been consumed widely for its anti-inflammatory, antiviral, and anti-depressive properties. Here we present a detailed clinical evaluation of three cases (two colon and one duodenal adenocarcinoma) with remarkable and intensive lymphoplasmocytic host reaction, at the basal part of tumor, intensive fibrosis, giant cells, plasma cell increase in lymph nodes and few giant cells in germinal centers in resection specimens. The observation of similar host reaction in those tumors having otherwise usual appearance was interesting. None of the cases received neoadjuvant chemoradiotherapy or additional treatment before surgery but only SJW. These cases are presented to increase the awareness about such cases. Further research is needed to reveal the possible effect of SJW, which has long been consumed for different treatment purposes, on human tumors.
authors.affiliation: Serap Karaarslan, Department of Pathology, Sifa University Faculty of Medicine, 35100 Izmir, Turkey.
authors.forename: Serap
authors.initials: S
authors.lastname: Karaarslan
authors.affiliation: Serap Karaarslan, Department of Pathology, Sifa University Faculty of Medicine, 35100 Izmir, Turkey.
authors.forename: Suna
authors.initials: S
authors.lastname: Cokmert
authors.affiliation: Serap Karaarslan, Department of Pathology, Sifa University Faculty of Medicine, 35100 Izmir, Turkey.
authors.forename: Atilla
authors.initials: A
authors.lastname: Cokmez
keywords: Adenocarcinoma; Giant cell; St. John’s Wort