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Spontaneous Regression Of Malignant Disease: Report Of Three Cases

Margolis et al., 1967Lung cancer

Margolis, J., & West, D. (1967). spontaneous regression of malignant disease: report of three cases. Journal of the American Geriatrics Society, 15(3), 251–253. https://doi.org/10.1111/j.1532-5415.1967.tb01134.x

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Case Details

Disease Location

Right lung

Personal Characteristics

58-year-old male smoked > 2 packs of cigarettes/day

Clinical Characteristics

Admitted oct 1953 with productive cough of 1 years duration with 20 lb weight loss during previous 6 mths findings on pathologic exam after thoracotomy was adenocarcinoma of lung

Remission Characteristics

Followed up every 3/4 mths each time purulent fluid would re-accumulate in chest space & would rupture through to outside & drain spontaneously patient would obtain relief for several weeks re-accumulations persisted until 1962, then stopped continued to do well except for several subsequent bouts of pneumonia no evidence of tumor 12 years later

Treatment & Mechanisms

Proposed Remission Mechanisms

Possible factor is the development of empyema necessitatis & several bouts pneumonia postoperatively

Clinical Treatment

Feb 1954, thoracotomy performed & posterior segment of lobe was resected right pneu monthsectomy--> after this operation, patient's course consistently downhill with marked weight loss & chest pain required narcotics for weight loss & chest pain