A searchable database of
medically documented cases

About the Project

The Problem Of Spontaneous Regressions Of Malignant Tumors

Sirtori & Pizzetti, 1956Neuroblastoma

Giornale Italiano di Chemioterapia 3: 1956; 176-199

View Original Source →

Abstract

A review of 180 cases of neuroblastoma reported at the Pediatric Service of Memorial Hospital for Cancer and Allied Diseases between 1926 and 1958 is presented. It seems evident that the natural history of neuroblastoma may vary greatly from child to child. Surgery and irradiation are the recognized therapeutic modalities. Chemotherapy is still of questionable value but investigation of its effects should be continued. The prognostic evaluation must be guarded, for, as in other cancers, the five-year, ten-year or longer survival “yardsticks” may prove erroneous in some instances. One of the cases presented is that of a child with biopsied neuroblastoma who underwent a spontaneous remission with no treatment.

Case Details

Personal Characteristics

26-year-old woman, hysterectomized

Clinical Characteristics

Pulmonary, vaginal and subcutaneous metastases

Remission Characteristics

Regressed for 7 years

Treatment & Mechanisms

Proposed Remission Mechanisms

Ischemic necrosis, cellular differentiation, defensive action of the stroma

Additional Notes

Spontaneous healing may be biologically related to endocrine or neurohormonal factors, to general or local immunity phenomena, to sudden variations of the biological balance of the soma, and to other yet unknown stimulations.