Spontaneous Regression Of Intestinal Malignant Melanoma From An Occult Primary Site
Cancer 62(6): Sep 15 1988; 1247-1250
View Original Source →Abstract
A case is reported in which recurring epithelial cancer disappeared after an attack of erysipelas. The case is reported without special comments, since Dr. Coley has written on this subject in considerable detail. The author is aware that a single case from the practice of a surgeon is but of little value, isolated and alone, but it is hoped that it will stimulate others to add their experience and observations.
Case Details
Personal Characteristics
55-year-old male
Clinical Characteristics
Melena, intussusception, dizziness, generalized weakness, subcutaneous mass in the right side of the neck, deep mass in the right suboccipital region, multiple black intramural ileal lesions, and mesenteric and paraaortic lymph node metastases
Remission Characteristics
Alive 8 years after diagnosis without evidence of malignancy
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
Palliative and incomplete resection of an involved ileal segment, total excision of the subcutaneous mass in the neck, partial excision of the deep mass in the right suboccipital region
Additional Notes
The patient did not receive chemotherapy, radiotherapy, or immunotherapy. The case represents spontaneous regression of malignant melanoma of the small intestine that is considered either a primary intestinal tumor or a metastatic tumor from an occult regressed primary.