Spontaneous Regression Of A Breast Carcinoma: A Case Report
Carlos Dussan, Pavol Zubor, Manuel Fernandez, Alejandro Yabar, Norberight Szunyogh, Jozef Visnovsky; spontaneous Regression of a Breast Carcinoma: A Case report. Gynecol Obstet Invest 1 April 2008; 65 (3): 206–211. https://doi.org/10.1159/000112228
View Original Source →Abstract
Spontaneous regression of malignant tumors is a rare event. It is defined as partial or total disappearance of a proven malignant tumor without adequate medical treatment. The causes of this phenomenon are various. Nevertheless, malignant tumors do regress occasionally for no apparent reason, as evidenced by many clinical observations. We report a case of a 68-year-old woman, who was presented with a several-month history of a painless firm lump, initially of 1 cm in diameter and growing to a large solid regular tumor of 2.5 × 2.5 cm in size, in the upper outer quadrant of her right breast. Preoperative histopathological diagnosis revealed ductal invasive carcinoma. Later on, while awaiting surgical treatment, she suffered an arm injury requiring a 1-month delay of surgery. After recovery, on the date of surgery the tumor disappeared, and, in addition, it was not found in tissue specimens obtained from quadrantectomy. After 78 months of follow-up there was no evidence of relapse. In this report, we discuss clinical and histopathological findings, patient management and possible mechanisms of cancer regression.
Case Details
Disease Location
Right breast with metastases to lymph nodes in right axilla
Personal Characteristics
68 year old female nonsmoker regular menstrual period since the age of 14 years and a history of oral contraceptives history of a rapidly growing painless firm lump, initially of 1 cm in diameter extending to a large solid regular tumor in the upper outer quadrant of her right breast
Clinical Characteristics
Referred for surgical treatment physical examination disclosed a 2.5 x 2.5 cm, solid, painless, partially mobile tumor of regular shape localized in the region of the upper outer quadrant of the right breast with local skin retraction. Ipsilateral axilla examination revealed a palpable tumor of 1 x 1 cm in size, vs. A metastasis. Breast mammography was compatible with the neoplastic lesion. Fine needle and core breast biopsy were performed histopathological diagnosis revealed ductal invasive carcinoma while awaiting surgical treatment, she suffered an arm injury requiring a 1-month delay of surgery.
Remission Characteristics
After recovery, on the date of surgery the tumor disappeared, and, in addition, it was not found in tissue specimens obtained from quadrantectomy.
Treatment & Mechanisms
Proposed Remission Mechanisms
None reported
Clinical Treatment
Fine needle and core breast biopsy diclophenac 100 mg daily for 1 week post arm injury