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Case study 5

Surviving Against All Odds: Analysis of 6 Case Studies of Patients With Cancer Who Followed the Gerson Therapy

A. Molassiotis, RN, PhD, and P. Peat, RGN, DiplPallCare

Case 5 This case is a 68-year-old man (at the time of death; born in 1935) diagnosed with (inoperable) cholangiocarcinoma.

Diagnosis was established by visual analysis of endoscopic retrograde cholangiopancreatography and supported by CT scanning. The histology report of pancreatic tissue suggests atrophy and inflammation, with no malignant cells in the biopsy specimen.

He was diagnosed in May 1997 at the age of 62 years following investigations for obstructive jaundice.

The tumor was felt to be resectable, and the plan was to proceed with surgery. Upon laparotomy on June 9, 1997, the tumor was found to be unresectable because of extensive involvement of the portal vein, and biliary bypass was performed.

Chemotherapy was offered as a treatment option, but the patient declined and started on the Gerson regimen in August 1997. A magnetic resonance imaging (MRI) scan on July 31, 1998, reported a 4-cm stricture in the common bile duct, with an irregular soft tissue mass visible at the liver hilum.

The hepatic artery was seen to be surrounded by tumor in the superior portion of the pancreatic head. An MRI scan on October 5, 1999, suggested that the tumor was progressing but at a very slow pace. The patient was suffering no symptoms at the time.

A review on November 14, 2000, reported a 7 × 7 cm irregular mass in the portal vein, CA 19-9 of 70, no ascites, and no metastatic liver disease, remaining asymptomatic. A review on November 8, 2001, reported a CA 19-9 of 204, and physical examination revealed an unremarkable abdomen.

A review on February 5, 2002, reported evidence of activity in the tumor; magnetic resonance cholangiopancreatography showed a large tumor mass extending up the hilum, around the duodenum, and infiltrating the retroperitoneum.

An MRI scan report on February 13, 2003, showed a tumor at the head of the pancreas, now 8 cm, invading the left lobe of the liver. A small amount of ascites was present.

The patient’s disease then progressed steadily until his death from cholangiocarcinoma in April 2003.

Integr Cancer Ther 2007; 6; 80

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