Living outliers: experiences, insights and narratives of exceptional survivors of incurable cancer.

AIM Unexplained prolonged survival given a diagnosis of incurable advanced cancer is a puzzling phenomenon that recently has attracted more scientific research. The purpose of this study was to add to the understanding of how exceptional patients perceive and explain their unusual experience. METHODS We recruited patients for interviews from a population registry, patients with advanced lung or pancreatic malignancy who experienced exceptional survival. RESULTS & CONCLUSION In total, 15 participants were interviewed. The main recurrent themes in most of the interviews were patient-doctor communication, family support and the patient's proactive attitude. In this study, patients attribute their longevity to relationships with their doctor and their family - not the type of treatment they received. Further research on this phenomenon is needed.

[1]  M. Grosso Radical Remission: Surviving Cancer Against All Odds, Kelly Turner. Publisher: HarperOne (2014), 312, ISBN 978-0-06-226875-4 , 2015 .

[2]  M. Frenkel,et al.  Exceptional patients: Narratives of connections , 2013, Palliative and Supportive Care.

[3]  K. Amber Complete Spontaneous Regression of Merkel Cell Carcinoma , 2013, Global advances in health and medicine.

[4]  V. Fønnebø,et al.  The NAFKAM International Registry of Exceptional Courses of Disease Related to the Use of Complementary and Alternative Medicine , 2012, Global advances in health and medicine.

[5]  L. Cohen,et al.  Activism among exceptional patients with cancer , 2011, Supportive Care in Cancer.

[6]  Kelly A. Turner Spontaneous Remission of Cancer: Theories from Healers, Physicians, and Cancer Survivors , 2010 .

[7]  E. Kvale,et al.  A qualitative study of exceptional survivors of cancer. , 2009, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[8]  J. Hök Use of complementary and alternative medicine in the context of cancer : Perspectives on exceptional experiences , 2009 .

[9]  K. Courneya,et al.  Evidence-based clinical practice guidelines for integrative oncology: complementary therapies and botanicals. , 2009, Journal of the Society for Integrative Oncology.

[10]  B. Glover Doing what comes naturally in the dyehouse , 2008 .

[11]  M. Barasch Remarkable recoveries: research and practice from a patient's perspective. , 2008, Hematology/oncology clinics of North America.

[12]  L. Mehl-Madrona,et al.  Narratives of exceptional survivors who work with aboriginal healers. , 2008, Journal of alternative and complementary medicine.

[13]  A. Abdelrazeq Spontaneous regression of colorectal cancer: a review of cases from 1900 to 2005 , 2007, International Journal of Colorectal Disease.

[14]  J. Jacobson,et al.  Exceptional disease courses after the use of CAM: selection, registration, medical assessment, and research. an international perspective. , 2006, Journal of alternative and complementary medicine.

[15]  J. Mæhlen,et al.  Do model results suggest spontaneous regression of breast cancer? , 2006, International journal of cancer.

[16]  D. Imhoff,et al.  Spontaneous Remission of Metastases of Cancer of the Uterine Cervix , 2006, Oncology Research and Treatment.

[17]  S. Leveson,et al.  Spontaneous regression of peritoneal carcinomatosis from a rectal cancer. , 2005, European journal of gastroenterology & hepatology.

[18]  T. Hibi,et al.  Spontaneous regression of hepatocellular carcinoma with complete necrosis: case report , 2005, Abdominal Imaging.

[19]  J. Mæhlen,et al.  Model of outcomes of screening mammography: Spontaneous regression of breast cancer may not be uncommon , 2005, BMJ : British Medical Journal.

[20]  Ram Rup Sarkar,et al.  Cancer self remission and tumor stability-- a stochastic approach. , 2005, Mathematical biosciences.

[21]  L. Kao,et al.  Spontaneous regression of retinoblastoma in a Taiwan series. , 2005, Journal of pediatric ophthalmology and strabismus.

[22]  Jin Mo Yang,et al.  Spontaneous regression of a large hepatocellular carcinoma with skull metastasis , 2005, Journal of gastroenterology and hepatology.

[23]  F. Akiyama,et al.  Spontaneous “healing” of breast cancer , 2005, Breast cancer.

[24]  J. Yang,et al.  Spontaneous regression of a large radiolucent lesion in the mandible. , 2005, Dento maxillo facial radiology.

[25]  C. Gotay,et al.  Quality of life in patients who survive a dire prognosis compared to control cancer survivors , 2004, Psycho-oncology.

[26]  L. Fritsch,et al.  Two cases of spontaneous regression of multicentric hepatocellular carcinoma after intraperitoneal rupture: possible role of immune mechanisms , 2004, European journal of gastroenterology & hepatology.

[27]  K. Tsai,et al.  Spontaneous regression of a large-cell lymphoma in the conjunctiva and orbit. , 2004, Ophthalmic plastic and reconstructive surgery.

[28]  V. Migaleddu,et al.  Spontaneous regression of hepatocellular carcinoma: report of a case. , 2004, European journal of gastroenterology & hepatology.

[29]  A. Ardizzoni,et al.  Complete spontaneous remission of non-small-cell lung cancer: a case report. , 2004, Lung cancer.

[30]  C. Théodore,et al.  ‘Burned‐out’ primary testicular cancer , 2004, BJU international.

[31]  K. Yamaguchi,et al.  Spontaneous regression of malignant lymphoma of the breast , 2004, Pathology international.

[32]  S. Ventegodt,,et al.  Clinical Holistic Medicine: Induction of Spontaneous Remission of Cancer by Recovery of the Human Character and the Purpose of Life (the Life Mission) , 2004, TheScientificWorldJournal.

[33]  Chih‐Lin Lin,et al.  Spontaneous regression of hepatocellular carcinoma: a case report and literature review. , 2004, Hepato-gastroenterology.

[34]  F. Sukkarieh,et al.  [Spontaneous regression of testicular tumor]. , 2003, JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie.

[35]  D. C. Henckel,et al.  Case report. , 1995, Journal.

[36]  C. Hirshberg,et al.  Spontaneous Remission: An Annotated Bibliography , 1993 .

[37]  H. Stam,et al.  The spontaneous regression of cancer. A review of cases from 1900 to 1987. , 1990, Acta oncologica.

[38]  S. Fish Doing What Comes Naturally , 2020 .

[39]  R. Parse,et al.  Nursing Research: Qualitative Methods , 1985 .

[40]  T. C. Everson Spontaneous regression of cancer. , 1967, Progress in clinical cancer.

[41]  F. Kingery The self‐healing “cancer.” , 1965, JAMA.

[42]  Andrews Jt SPONTANEOUS DISAPPEARANCE OF PULMONARY METASTASES IN CARCINOMA OF THE KIDNEY. , 1965 .

[43]  J. W. Bell,et al.  SPONTANEOUS REGRESSION OF BRONCHOGENIC CARCINOMA WITH FIVE YEAR SURVIVAL. , 1964, The Journal of thoracic and cardiovascular surgery.

[44]  J. Legier Spontaneous regression of primary bile duct carcinoma , 1964, Cancer.

[45]  N. Moss Unusual forms and aspects of cancer in man. , 1964, Annals of the New York Academy of Sciences.

[46]  A. Sakula SPONTANEOUS REGRESSION OF PULMONARY METASTASES SECONDARY TO CARCINOMA OF KIDNEY. , 1963, British journal of diseases of the chest.

[47]  A. Brunschwig Spontaneous regression of cancer. , 1963, Surgery.

[48]  T. Dao Regression of pulmonary metastases of a breast cancer. Report of a case of spontaneous and temporary regression after radical mastectomy. , 1962, Archives of surgery.

[49]  D. Smithers Spontaneous regression of tumours. , 1962, Clinical radiology.

[50]  W. Cole,et al.  SPONTANEOUS REGRESSION OF MALIGNANT DISEASE: GUEST EDITORIAL , 1959 .

[51]  W. Cole,et al.  Spontaneous regression of malignant disease. , 1959, Journal of the American Medical Association.

[52]  Everson Tc,et al.  Spontaneous regression of cancer. , 1967, Progress in clinical cancer.

[53]  W. Cole,et al.  Spontaneous Regression of Cancer: preliminary Report , 1956 .

[54]  Rigdom Rh Spontaneous regression of neoplasms; an experimental study in the duck. , 1954 .

[55]  R. H. Rigdom Spontaneous regression of neoplasms; an experimental study in the duck. , 1954, Southern medical journal.

[56]  Stewart Fw Experiences in spontaneous regression of neoplastic disease in man. , 1952 .