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Spontaneous 19-year Regression Of Oat Cell Carcinoma With Scalene Node Metastasis

Lowy et al., 1986Lung cancer

Lowy, A. D., Jr, & Erickson, E. R. (1986). spontaneous 19-year regression of oat cell carcinoma with scalene node metastasis. Cancer, 58(4), 978–980. https://doi.org/10.1002/1097-0142(19860815)58:4<978::aid-cncr2820580430>3.0.co;2-g

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Abstract

This is the first case report of a patient with oat cell carcinoma of the lung with scalene node metastasis who, without treatment, is alive 19 years after the original diagnosis was made by biopsy. Seven years before the publication of this report, and at the age of 66 years, he underwent coronary bypass surgery and there was no gross evidence of malignancy present.

Case Details

Disease Location

Right lung

Personal Characteristics

55-year-old white male smoked 30 cigarettes/day for years (quit 4 mths before admission)

Clinical Characteristics

Suffered from shortness of breath of 6-weeks duration (1966) physical normal except for palpable glands in right supraclavicular area right scalene node biopsy performed surgically diagnosis of metastatic undifferentiated small cell carcinoma or oat cell carcinoma in 1973, developed a typical angina pectoris & treated medically angina recurred again in 1978 arteriography performed in 1978 (both grafts found patent & circumflex division of left coronary vessel showed total proximal occlusion)

Remission Characteristics

**ask for full version including info on regression

Treatment & Mechanisms

Clinical Treatment

Aorta-saphenous vein bypass to the right coronary artery. Left internal mammary artery bypass to the left anterior descending coronary artery medical treatment (not specified)