Spontaneous Regression Of Hepatic Metastases From A Carcinoma Of The Colon; Ten-year Follow-up Of A Patient With Familial Polyposis
Annals of Surgery 162(1): July 1965; 156-159
View Original Source →Abstract
Two cases of spontaneous regression of polyps of the colon in children are described. Such regression has not previously been established roentgenologically. It suggests that surgical intervention may be unnecessary.
Case Details
Personal Characteristics
44-year-old white man, family history of bowel cancer
Clinical Characteristics
Diarrhea, urgency, tenesmus, weight loss, weakness, pulmonary osteodystrophy, no lymph nodes palpable, no thyroid gland enlargement, normal heart size, soft abdomen, no enlarged organs or palpable masses, minimal localized tenderness in both lower quadrants, active bowel sounds, numerous small soft masses in rectum
Remission Characteristics
No evidence of hepatic metastases at second surgery, 10 years after first surgery
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
Proctosigmoidectomy and combined abdominoperineal resection with a colostomy, total colostomy
Additional Notes
Patient survived 10 years after first surgery with hepatic metastases. At second surgery, no evidence of these hepatic metastases. Patient had familial polyposis of the colon and poorly differentiated adenocarcinoma Grade IV.