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Spontaneous regression of laryngeal squamous cell carcinoma

Published online by Cambridge University Press:  07 October 2015

F Sipaul ,
B Ling ,
C Mason  and
A Keast
F Sipaul*
Affiliation:
ENT Department, Southampton General Hospital, UK
B Ling
Affiliation:
Department of ENT, Christchurch Public Hospital, New Zealand
C Mason
Affiliation:
Department of Pathology, Christchurch Public Hospital, New Zealand
A Keast
Affiliation:
Department of ENT, Christchurch Public Hospital, New Zealand
*
Address for correspondence: Mr Fabian Sipaul, ENT Department, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK Fax: +44 (0)23 8082 5688 E-mail: [email protected]
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Abstract

Background:

Spontaneous regression of solid malignancy is extremely rare. It is virtually unheard of in the last half century in the published literature. The overwhelming majority of medical professionals do not know that this phenomenon exists.

Case report:

This paper reports such a case involving a patient with proven laryngeal squamous cell carcinoma in New Zealand. Whilst waiting for definitive treatment, he was afflicted with prolonged septicaemia secondary to peritonitis from percutaneous endoscopic gastrostomy tube insertion. Following a total laryngectomy, histology of the specimen did not contain any evidence of neoplasia.

Conclusion:

Based predominantly on work established by Dr William Coley, we believe that a period of prolonged pyrexia preceding definitive surgery contributed to this apparent ‘miracle’. The time may be ripe to further debate on whether the medical profession should consider pyrexia therapy as a last resort treatment for patients deemed incurable by conventional methods.

Keywords

Spontaneous Neoplasm RegressionLarynxSquamous Cell CarcinomaPyrexiaImmunotherapy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 12 , December 2015 , pp. 1248 - 1250
Copyright
Copyright © JLO (1984) Limited 2015 

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