This article originally appeared in BMJ Case Reports 2018; doi:10.1136/bcr-2018-225520
Summary: This is a 3-year follow-up report of a case that was originally published in BMJ Case Reports in December 2015.
It involves the treatment of a 42-year-old woman, who was diagnosed with stage IIIa, grade 1 follicular lymphoma (FL). In November 2014, the patient arrived to TrueNorth Health Center (TNHC) and elected to undergo a 21-day medically supervised, water-only fast, after which she refed on an exclusively whole plant food diet, free of added salt, oil and sugar (SOS-free), including refined carbohydrates, for 10 days. Over the course of treatment, her enlarged lymph nodes became impalpable. Follow-up CT scans confirmed reduction in size. She did not undergo standard cancer treatment, maintained the SOS-free diet, and was symptom-free at 3-month and 6-month follow-up visits.
In November 2017, the patient returned to TNHC to complete a second water-only fast for the purpose of maintaining health. She reported following the SOS-free diet with minimal exceptions for the previous 3 years. A routine physical examination combined with complete blood count (CBC) and comprehensive metabolic panel (CMP) laboratory testing indicated overall good health and maintenance of weight loss that occurred during her first visit. Remarkably, her lymph nodes were still impalpable. The patient reported that in December 2016 she had computed tomography (CT)/positron-emission tomography (PET) scans which showed no evidence of active disease, and her oncology visits had been reduced to once per year. In January 2018, follow-up CT/PET scans demonstrated that the axillary, supraclavicular and inguinal lymph nodes were normal in appearance (figure 1), and there was no evidence of hypermetabolic neoplasm. These observations indicate that the patient no longer has evidence of FL. The initial regression has persisted for 3 years with no additional intervention other than dietary change.
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