Ranjit G. Nimbalkar , Anil T. Pawar , Amol A. Tagalpallewar , Akshay M. Baheti , Satish Chapadgaonkar , Manasi R. Nimbalkar
{"title":"一例术后复发、3 级、2 期恶性纺锤形细胞黑色素瘤患者接受阿育吠陀药物治疗后获得五年无病生存:病例报告","authors":"Ranjit G. Nimbalkar , Anil T. Pawar , Amol A. Tagalpallewar , Akshay M. Baheti , Satish Chapadgaonkar , Manasi R. Nimbalkar","doi":"10.1016/j.jaim.2024.100976","DOIUrl":null,"url":null,"abstract":"<div><p>Malignant spindle cell melanoma is a rare cancer with a questionable prognosis because of limited published case reports. This article discusses a male patient with a history of Spindle cell melanoma tumor, Rt heel, Grade 3 (Gr 3) Stage 2 (St 2) seen in our OPD treated with supporting herbo-mineral combination of Ayurvedic medicine. Such types of cancers are of concern and can be more troublesome to the patient. The initial chief complaint of the patient was a palpable corn-like growth in the right heel, which was surgically removed at that time. When it recurred after one year, it was investigated thoroughly and it was found malignant, and then operated again.</p><p>The patient came to us after his second operation. After appropriate analysis based on Ayurvedic and modern parameters, the patient was treated with <em>Ayurved</em> treatment. As there was no other treatment suggested by oncologists, he was on supportive Ayurvedic treatment only. Ayurvedic treatment continued for 2 years afterwards. The treatment module showed complete relief in the symptoms (100%), by the end of treatment. Follow-up PET scans showed further improvement and a complete reversal of residual disease was observed. The last PET scan did not show any evidence of abnormality. To date, there has been no recurrence and the patient has been living completely normally for the last almost 5 years (karnofsky score 90/100). It can be concluded that the addition of <em>Ayurvedic</em> treatment might have helped this patient of malignant spindle cell melanoma for regression of residual disease, prevention of metastasis to date, and a good quality of life. We have observed 5+ years of disease-free survival and near-normal quality of life for this patient, and still ongoing.</p></div>","PeriodicalId":15150,"journal":{"name":"Journal of Ayurveda and Integrative Medicine","volume":"15 4","pages":"Article 100976"},"PeriodicalIF":1.7000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0975947624000913/pdfft?md5=dd0f37890dd41c23b3dfef724d71820d&pid=1-s2.0-S0975947624000913-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Five years of disease-free survival in a case of recurrent, post-op, grade 3, stage 2, Malignant Spindle Cell Melanoma treated with Ayurvedic medicines: A case report\",\"authors\":\"Ranjit G. Nimbalkar , Anil T. Pawar , Amol A. Tagalpallewar , Akshay M. Baheti , Satish Chapadgaonkar , Manasi R. Nimbalkar\",\"doi\":\"10.1016/j.jaim.2024.100976\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Malignant spindle cell melanoma is a rare cancer with a questionable prognosis because of limited published case reports. This article discusses a male patient with a history of Spindle cell melanoma tumor, Rt heel, Grade 3 (Gr 3) Stage 2 (St 2) seen in our OPD treated with supporting herbo-mineral combination of Ayurvedic medicine. Such types of cancers are of concern and can be more troublesome to the patient. The initial chief complaint of the patient was a palpable corn-like growth in the right heel, which was surgically removed at that time. When it recurred after one year, it was investigated thoroughly and it was found malignant, and then operated again.</p><p>The patient came to us after his second operation. After appropriate analysis based on Ayurvedic and modern parameters, the patient was treated with <em>Ayurved</em> treatment. As there was no other treatment suggested by oncologists, he was on supportive Ayurvedic treatment only. Ayurvedic treatment continued for 2 years afterwards. The treatment module showed complete relief in the symptoms (100%), by the end of treatment. Follow-up PET scans showed further improvement and a complete reversal of residual disease was observed. The last PET scan did not show any evidence of abnormality. To date, there has been no recurrence and the patient has been living completely normally for the last almost 5 years (karnofsky score 90/100). It can be concluded that the addition of <em>Ayurvedic</em> treatment might have helped this patient of malignant spindle cell melanoma for regression of residual disease, prevention of metastasis to date, and a good quality of life. We have observed 5+ years of disease-free survival and near-normal quality of life for this patient, and still ongoing.</p></div>\",\"PeriodicalId\":15150,\"journal\":{\"name\":\"Journal of Ayurveda and Integrative Medicine\",\"volume\":\"15 4\",\"pages\":\"Article 100976\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S0975947624000913/pdfft?md5=dd0f37890dd41c23b3dfef724d71820d&pid=1-s2.0-S0975947624000913-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Ayurveda and Integrative Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0975947624000913\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ayurveda and Integrative Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0975947624000913","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
恶性纺锤形细胞黑色素瘤是一种罕见的癌症,由于已发表的病例报告有限,其预后值得怀疑。本文讨论的是一名男性患者的病史,他患有右足跟部纺锤形细胞黑色素瘤,3级(Gr 3)2期(St 2),在本院手术室接受了阿育吠陀草药-矿物质联合疗法的治疗。这类癌症令人担忧,也会给患者带来更多麻烦。患者最初的主诉是右脚后跟可触及的粟粒样增生,当时已通过手术将其切除。一年后复发,经过彻底检查,发现是恶性肿瘤,于是再次进行了手术。根据阿育吠陀疗法和现代参数进行适当分析后,患者接受了阿育吠陀疗法。由于肿瘤专家没有提出其他治疗建议,他只接受了辅助性的阿育吠陀治疗。此后,阿育吠陀疗法持续了两年。治疗模块显示,治疗结束时症状完全缓解(100%)。后续的正电子发射计算机断层扫描显示病情进一步好转,残留疾病完全逆转。最后一次 PET 扫描未显示任何异常证据。迄今为止,患者的病情没有复发,在过去近 5 年的时间里生活完全正常(卡诺夫斯基评分 90/100)。由此可以得出结论,采用阿育吠陀疗法可能有助于这位恶性纺锤形细胞黑色素瘤患者消退残留病灶,防止转移,并获得良好的生活质量。据我们观察,这名患者的无病生存期已超过 5 年,生活质量接近正常,而且仍在继续。
Five years of disease-free survival in a case of recurrent, post-op, grade 3, stage 2, Malignant Spindle Cell Melanoma treated with Ayurvedic medicines: A case report
Malignant spindle cell melanoma is a rare cancer with a questionable prognosis because of limited published case reports. This article discusses a male patient with a history of Spindle cell melanoma tumor, Rt heel, Grade 3 (Gr 3) Stage 2 (St 2) seen in our OPD treated with supporting herbo-mineral combination of Ayurvedic medicine. Such types of cancers are of concern and can be more troublesome to the patient. The initial chief complaint of the patient was a palpable corn-like growth in the right heel, which was surgically removed at that time. When it recurred after one year, it was investigated thoroughly and it was found malignant, and then operated again.
The patient came to us after his second operation. After appropriate analysis based on Ayurvedic and modern parameters, the patient was treated with Ayurved treatment. As there was no other treatment suggested by oncologists, he was on supportive Ayurvedic treatment only. Ayurvedic treatment continued for 2 years afterwards. The treatment module showed complete relief in the symptoms (100%), by the end of treatment. Follow-up PET scans showed further improvement and a complete reversal of residual disease was observed. The last PET scan did not show any evidence of abnormality. To date, there has been no recurrence and the patient has been living completely normally for the last almost 5 years (karnofsky score 90/100). It can be concluded that the addition of Ayurvedic treatment might have helped this patient of malignant spindle cell melanoma for regression of residual disease, prevention of metastasis to date, and a good quality of life. We have observed 5+ years of disease-free survival and near-normal quality of life for this patient, and still ongoing.