Chin Ken Min, Chan Chung Yip, Lee Ser Yee
Yong Loo Lin School of Medicine, National University of Singapore, Singapore General Hospital, Hospital Drive 1, S169608, Singapore.
Department of General Surgery, Singapore General Hospital, Singapore General Hospital, Hospital Drive 1, S169608, Singapore; Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore General Hospital, Hospital Drive 1, S169608, Singapore; Duke-National University of Singapore (NUS), Medical School Singapore, 8 College Road, S169857, Singapore.
Int J Surg Case Rep. 2018;42:55-59. doi: 10.1016/j.ijscr.2017.11.056. Epub 2017 Dec 2.
Spontaneous regression of cancer is defined as the partial or complete disappearance of malignant disease without treatment, or in the presence of therapy that is deemed inadequate to exert an influence on malignant disease, as composed by Tilden Everson and Warren Cole in the 1960s. It has been a topic of major interest in the field of medical and surgical oncology. It is poorly understood and scantily documented. Factors associated and postulated pathogeneses are at best, hypothetical.
We report a case of spontaneous resolution of a head of pancreas carcinoma in a 77-year-old gentleman after a myocardial infarction event delayed planned surgery.
A literature review of previously reported cases of spontaneous regression of pancreatic cancer was performed. The possible predisposing factors to spontaneous regression of pancreatic and other forms of malignancies was reviewed.
This is a novel case of spontaneous regression of pancreatic carcinoma after an episode of myocardial infarction. The pathophysiology to spontaneous resolution of cancer is not well understood, may be multifactorial and requires further study.
癌症的自发消退被定义为在没有治疗的情况下,或者在被认为对恶性疾病没有影响的治疗存在的情况下,恶性疾病部分或完全消失,这是20世纪60年代由蒂尔登·埃弗森和沃伦·科尔提出的。它一直是医学和外科肿瘤学领域的一个主要研究热点。人们对它了解甚少,记录也很少。与之相关的因素和假定的发病机制充其量只是假设。
我们报告了一例77岁男性胰腺癌自发消退的病例,该患者在心肌梗死事件后推迟了计划中的手术。
对先前报道的胰腺癌自发消退病例进行了文献综述。回顾了胰腺癌和其他形式恶性肿瘤自发消退的可能诱发因素。
这是一例心肌梗死后胰腺癌自发消退的新病例。癌症自发消退的病理生理学尚不清楚,可能是多因素的,需要进一步研究。