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  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

Successful Outcome of Elderly Patients with Advanced Malignant Melanoma by Standardized Allergen-removed Rhus verniciflua Stokes Extract and Bojungikki-tang: Two Cases

Journal of Korean Medicine / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2014, v.35 no.4, pp.98-103


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Abstract

Objectives: Advanced malignant melanoma (MM) has a poor prognosis, with an expected 2-year survival rate of 10to 20%. It has long been recognized as an immunogenic tumor, and is worse for elderly patients. Many studies havesuggested that herbal treatments improve immune functions, but few clinical studies have reported on this topic. Patients and History: We present two cases of female patients (72 and 77 years old, respectively) with advancedMM. The 72-year-old female patient was, at first, diagnosed with MM with multiple bone metastases. Shereceived resection of the primary lesion, but refused further chemotherapy. The 77-year-old female patient wasdiagnosed with cutaneous MM of the left heel, with suspicion of sentinel node lymphadenopathy; however, shealso refused any conventional treatment due to old age. Course of Therapy and Results: Both patients were exclusively treated with standardized allergen-removed Rhusverniciflua stokes (aRVS) extract combined with Bojungikki-tang (BT, Bu-Zhong-Yi-Qi-Tang in Chinese orHochu-ekki-to in Japanese). Both patients are still alive and doing well (Feb. 2014), demonstrating that the72-year-old patient has lived for 27 months and the 77-year-old patient has lived for 31 months without diseaseprogression since the aRVS and BT administration. Conclusion: We suggest that the combination of aRVS extract and BT could be a candidate for overcoming thecancer’s immunoediting process especially for elderly MM patients intolerant of conventional treatment.

keywords
Malignant melanoma, Aged, Rhus verniciflua Stokes, Bojungikki-Tang


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