DOI: 10.12890/2019_001203
A Case of Spontaneous Regression of Pulmonary Small Cell Carcinoma
Authors
ugarin2001@yahoo.co.jp
Keywords
Spontaneous regression, pulmonary small cell carcinoma, T lymphocyte-mediated immunity, atrial natriuretic peptideAbstract
An 82-year-old man was examined using chest computed tomography after treatment for pneumonia. Imaging showed a nodular shadow in the left lower lobe with associated enlarged lymph nodes. A polypoid tumour was observed on bronchoscopic examination, and the histological findings showed pulmonary small cell carcinoma with infiltration of CD3-positive and CD8-positive lymphocytes. The patient declined any antitumoural therapy and experienced an exacerbation of heart failure treated with atrial natriuretic peptide. Eighteen months after the diagnosis, the polypoid tumour had disappeared. T lymphocyte-mediated immunity and the antitumoural effects of atrial natriuretic peptide may have influenced the observed spontaneous regression.