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Spontaneous Regression Of Pulmonary Images Considered As Renal-carcinoma Metastases; A Report Of Two Cases

Mage et al., 1986Kidney cancer

Annales D’Urologie 20(4): 1986; 271-274

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Abstract

Spontaneous regression of metastatic cancers occurs rarely and has been reported only once for pulmonary metastases from transitional cell carcinoma. Two cases of spontaneous complete regression of lung metastases from transitional cell carcinoma are presented. In one case, regression occurred after a course of radiation to the primary bladder cancer, but in the other patient, lung lesions disappeared without treatment to the primary or metastatic cancers. The factors that alter the tumor-host relationship to allow spontaneous regression of cancers are unknown, but observation of these phenomena may help reveal parameters that influence tumor progression in the majority of cancer patients.

Case Details

Personal Characteristics

55-year-old patient, suffered with asthenia, loss of weight, and abdominal pains

Clinical Characteristics

Five roundish areas of opacification in the field of the right lung, tumor with neoplastic growth in the vein cavity on the level of the lower pole of the right kidney

Remission Characteristics

Spontaneous regression of the number and size of the images over a six-week period

Treatment & Mechanisms

Proposed Remission Mechanisms

Tumorous emboli

Clinical Treatment

Nephrectomy

Additional Notes

The patient was regularly examined clinically and radiologically, and three years after regression the remission of the renal neoplasm was complete.