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Spontaneous Regression Of Hepatocellular Carcinoma.

Kondo, S. 2006Liver cancer

Kondo, S., Okusaka, T., Ueno, H., Ikeda, M., & Morizane, C. (2006). spontaneous regression of hepatocellular carcinoma. International journal of clinical oncology, 11(5), 407–411. https://doi.org/10.1007/s10147-006-0591-4

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Abstract

We report four patients with hepatocellular carcinoma (all men, with liver cirrhosis and hepatitis C virus infections) who showed spontaneous regression of the tumor. When the spontaneous regression occurred all of the patients were over age 67 years. They showed a rapid increase of serum alpha-fetoprotein levels just before the spontaneous regression of hepatocellular carcinoma. In all the patients, the alpha-fetoprotein level decreased to within normal limits and the tumor was partially to completely reduced in size. One patient revealed regression after bleeding of esophageal varices and blood transfusion. Another showed spontaneous regression after taking several complementary and alternative medicines. However, the mechanisms underlying this intriguing phenomenon remain unknown.

Case Details

Disease Location

Liver

Personal Characteristics

67-year-old man, multiple liver tumors, social drinker

Clinical Characteristics

Admitted to followup, HCV positive, histological examination showed a poorly differentiated hcc, ed monthsdson’s iii, in a segment 4 tumor. Rfa was performed. 1 year later a recurrent tumor with portal vein tumor thrombosis and ascites were detected by CT, and his AFP level increased rapidly

Remission Characteristics

1 year after relapse, AFP levels decreased, CT showed shrinkage of the primary liver mass and the disappearance of the pleural effusion and ascites

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Radiofrequency ablation (rfa), palliative care