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Delayed Spontaneous Regression of Metastatic Gastric Cancer: A Case Report of a Rare Finding
We discuss the case of a 74-year-old male who was referred with episodes of vomiting, nausea, and weight loss. Ultrasound abdomen had suggested multiple liver metastases and a triple-phase CT scan of abdomen-pelvis confirmed the same. His oesophago-gastro-duodenoscopy (OGD), also known as upper endo...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649674/ https://www.ncbi.nlm.nih.gov/pubmed/34900506 http://dx.doi.org/10.7759/cureus.20224 |
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author | Zafar, Mansoor Paracha, Abdul Wahab Ashraf, Muteeb Muhammad, Tila Whitehead, Mark Toqeer, Muhammad |
author_facet | Zafar, Mansoor Paracha, Abdul Wahab Ashraf, Muteeb Muhammad, Tila Whitehead, Mark Toqeer, Muhammad |
author_sort | Zafar, Mansoor |
collection | PubMed |
description | We discuss the case of a 74-year-old male who was referred with episodes of vomiting, nausea, and weight loss. Ultrasound abdomen had suggested multiple liver metastases and a triple-phase CT scan of abdomen-pelvis confirmed the same. His oesophago-gastro-duodenoscopy (OGD), also known as upper endoscopy (EGD), showed a large ulcerated lesion at the lesser curvature, which was later confirmed to be poorly differentiated adenocarcinoma on biopsy. The patient was started on palliative chemotherapy, which he tolerated poorly, but a CT scan had suggested a minimal reduction in the size of liver metastasis. He was given two cycles of chemotherapy; however, due to poor tolerance and unresponsiveness to chemotherapy, he was referred to palliative care. The patient declined any medical support for the next six years, after which he visited his general practitioner (GP) for a follow-up review. Routine blood tests showed new-onset mild iron deficiency anaemia. He denied any symptoms. He was referred to Gastroenterology for repeat OGD, and it showed a tiny nodular area in the stomach at the site of previous cancer, which was reported as non-specific chronic inflammation on biopsy, and CT abdomen showed a marked reduction in size and number of liver metastases. On further clinical review, he reported feeling well and his anaemia resolved without any intervention. |
format | Online Article Text |
id | pubmed-8649674 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-86496742021-12-10 Delayed Spontaneous Regression of Metastatic Gastric Cancer: A Case Report of a Rare Finding Zafar, Mansoor Paracha, Abdul Wahab Ashraf, Muteeb Muhammad, Tila Whitehead, Mark Toqeer, Muhammad Cureus Gastroenterology We discuss the case of a 74-year-old male who was referred with episodes of vomiting, nausea, and weight loss. Ultrasound abdomen had suggested multiple liver metastases and a triple-phase CT scan of abdomen-pelvis confirmed the same. His oesophago-gastro-duodenoscopy (OGD), also known as upper endoscopy (EGD), showed a large ulcerated lesion at the lesser curvature, which was later confirmed to be poorly differentiated adenocarcinoma on biopsy. The patient was started on palliative chemotherapy, which he tolerated poorly, but a CT scan had suggested a minimal reduction in the size of liver metastasis. He was given two cycles of chemotherapy; however, due to poor tolerance and unresponsiveness to chemotherapy, he was referred to palliative care. The patient declined any medical support for the next six years, after which he visited his general practitioner (GP) for a follow-up review. Routine blood tests showed new-onset mild iron deficiency anaemia. He denied any symptoms. He was referred to Gastroenterology for repeat OGD, and it showed a tiny nodular area in the stomach at the site of previous cancer, which was reported as non-specific chronic inflammation on biopsy, and CT abdomen showed a marked reduction in size and number of liver metastases. On further clinical review, he reported feeling well and his anaemia resolved without any intervention. Cureus 2021-12-07 /pmc/articles/PMC8649674/ /pubmed/34900506 http://dx.doi.org/10.7759/cureus.20224 Text en Copyright © 2021, Zafar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Gastroenterology Zafar, Mansoor Paracha, Abdul Wahab Ashraf, Muteeb Muhammad, Tila Whitehead, Mark Toqeer, Muhammad Delayed Spontaneous Regression of Metastatic Gastric Cancer: A Case Report of a Rare Finding |
title | Delayed Spontaneous Regression of Metastatic Gastric Cancer: A Case Report of a Rare Finding |
title_full | Delayed Spontaneous Regression of Metastatic Gastric Cancer: A Case Report of a Rare Finding |
title_fullStr | Delayed Spontaneous Regression of Metastatic Gastric Cancer: A Case Report of a Rare Finding |
title_full_unstemmed | Delayed Spontaneous Regression of Metastatic Gastric Cancer: A Case Report of a Rare Finding |
title_short | Delayed Spontaneous Regression of Metastatic Gastric Cancer: A Case Report of a Rare Finding |
title_sort | delayed spontaneous regression of metastatic gastric cancer: a case report of a rare finding |
topic | Gastroenterology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649674/ https://www.ncbi.nlm.nih.gov/pubmed/34900506 http://dx.doi.org/10.7759/cureus.20224 |
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