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Spontaneous Regression In Non-hodgkin’s Lymphoma

Gattiker et al., 1980Lymphoma

Cancer 45(10): May 15 1980; 2627-2632

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Abstract

We report a case of complete, spontaneous remission of primary CNS lymphoma that occurred within twenty-seven weeks of onset and which, by CT and clinical data, lasted approximately one year before relapse. To our knowledge, this is the first such reported case in the literature and it lends further support to the notion that CNS lymphoma is a heterogeneous disorder. At the very least, it is clearly capricious in its natural history.

Case Details

Clinical Characteristics

Complete, partial or minor spontaneous regression was found in 18 out of 140 cases with nodular lymphoma and in 2 out of 69 cases with diffuse lymphoma. It occurred in previously treated and untreated patients and in nodal and extranodal disease; the duration varied from a few weeks to many years but lasted one year or more in 7 cases with complete or partial spontaneous regression.

Remission Characteristics

Spontaneous regression occurs far more frequently in nodular lymphoma than in the diffuse type. Within the nodular lymphoma group, spontaneous regression is associated with long survival.

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Additional Notes

The study analyzed 209 cases of non-Hodgkin’s lymphoma retrospectively for the occurrence of spontaneous regression.