Long-term disease free survival [DFS] of stage IIIB malignant melanoma patient treated post-surgery with herbal treatment modalities

S. Sardeshmukh, S. Gangal, Arvind V. Kulkarni, Vineeta Deshmukh, S. Gujar, S. Gore, R. Gayal
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Abstract

Objective: Long term survival of high-risk malignant melanoma is difficult to achieve in spite of radical surgery, adjunct chemotherapy, radiotherapy and biological therapy. The aim of this case presentation is to demonstrate effectiveness of herbal combination in achieving long term DFS of a high-risk melanoma patient. Case presentation: We reports here a case of a patient with Stage IIIB malignant melanoma with palpable axillary lymph node. After surgical removal of only the primary lesion he did not opt for radiotherapy or chemotherapy or interferon therapy. Instead, he opted to take combination of herbal medicines at ICTRC, Pune. After the initial period of Ayurvedic treatment for 5 months, the palpable axillary lymph node enlarged. It was subjected to second surgery. The histopathological report of partial second surgery revealed residual melanoma with extensive exudate consisting of lymphocytes and histiocytes indicative of intense immune reactivity. No further recurrence or metastasis is noted for 20 yrs. The patient is continued to take herbal medicines and detoxifying Ayurvedic treatment modality called Panchakarma and is in Disease Free State with good quality of life and fit physical condition. Conclusion: In this case improvement in immune status and quality of life is achieved using herbal medicines and Panchakarma treatment in absence of known anti-cancer treatments. Further clinical studies on large cohort and at the level of basic research are warranted. *Correspondence to: Vineeta Deshmukh, Integrated Cancer Treatment and Research Centre, Wagholi, Pune – 412207, Maharashtra, India, E-mail: ictrcpune@gmail.com
IIIB期恶性黑色素瘤患者术后中草药治疗的长期无病生存期
目的:高危恶性黑色素瘤虽经根治性手术、辅助化疗、放疗及生物治疗,仍难以实现长期生存。本病例报告的目的是证明草药组合在实现高风险黑色素瘤患者的长期DFS方面的有效性。病例介绍:我们在此报告一例IIIB期恶性黑色素瘤伴可触及腋窝淋巴结的病例。手术切除原发病灶后,他没有选择放疗、化疗或干扰素治疗。相反,他选择在浦那ICTRC服用草药组合。初期阿育吠陀治疗5个月后,可触及腋窝淋巴结肿大。它接受了第二次手术。部分二次手术的组织病理学报告显示残余黑色素瘤伴大量渗出物,由淋巴细胞和组织细胞组成,表明强烈的免疫反应性。20年内未见进一步复发或转移。患者继续服用草药和被称为Panchakarma的排毒阿育吠陀治疗方式,处于无病状态,生活质量良好,身体状况良好。结论:在没有已知的抗癌治疗方法的情况下,使用草药和Panchakarma治疗可以改善免疫状态和生活质量。进一步的大队列和基础研究水平的临床研究是必要的。*通信:Vineeta Deshmukh,癌症综合治疗和研究中心,Wagholi,浦那- 412207,马哈拉施特拉邦,印度,E-mail: ictrcpune@gmail.com
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