Case 2 This was a 54-year-old patient (born in 1951) diagnosed with invasive adenocarcinoma of the breast in September 1996 at the age of 44, following presentation with multiple breast lumps. An ultrasound scan dated September 10, 1996, identified a very irregular echo-poor mass extending into the left lower quadrant of the breast. Well defined in places, it appeared to be infiltrating into surrounding breast tissue. Further investigations of a mammogram and fine needle aspirate showed it to be malignant. A left mastectomy was performed on September 19, 1996. Histology showed a moderately to poorly differentiated invasive adenocarcinoma of ductal type (World Health Organization grade 3) with a nodule 2.5 cm in diameter. Deep to the nipple, one of the main ducts showed features of ductal carcinoma in situ, and the overall grading was T2 G3 N1 M0. Fourteen of the 15 lymph nodes examined contained metastatic carcinoma, which were estrogen receptor (ER) and progesterone receptor negative. No disease was evident on chest x-ray and bone scan. The Nottingham Prognostic Index at the time was 6.5, putting her in the worst prognostic group and giving her a 20% chance of 5-year survival. FEC chemotherapy was given in October 1996 for 9 infusions, until February 18, 1997, when this was discontinued because of severe neutropenic sepsis. She started oral chlorambucil together with methotrexate and 5-FU (CMF) on March 11, 1997, and also Iscador drops. At the same time, it was noted on x-ray that there was a 1-cm nodule projecting through the heart immediately above the left hemidiaphragm that was suspicious for pulmonary metastasis. On a further x-ray dated April 8, 1997, another nodule was noted in the right sixth interspace, which was also reported as suspicious for pulmonary metastasis. Chlorambucil was discontinued on April 28, 1997, as the clinical opinion of the oncologist was that this was an indication of metastatic disease and that the chemotherapy had not been successful (lung metastasis was suspected but not confirmed). Concurrent homeopathic therapy (ie, Iscador drops) was increased at this time but discontinued when the Gerson therapy was commenced shortly afterward, in May 1997. In August 1997, after the patient had undergone intensive treatment with the Gerson regimen, her chest x-ray was noted to be clear, with no evidence of pulmonary metastasis. Since April 1997, no other conventional or alternative treatment of the cancer has been used. However, for various unrelated ailments, homeopathic remedies have been used. The patient is followed up regularly by oncology services, and scans in 2000 and 2002 showed no signs of recurrence. Some problems that were resolved with time included mild lymphoedema of the left arm (lymphatic drainage was used), yellow-orange skin tinge due to high â-carotene intake (due to the large amounts of carrot juice consumed as per the Gerson regimen), and alkaline phosphatase imbalances. These were all transient events that resolved with adjustments in the diet as per the Gerson regimen. The patient is alive and well in 2006 based on personal assessment by the first author and current physician notes, and she continues the Gerson regimen. Integr Cancer Ther 2007; 6; 80, March 2007 DOI: 10.1177/1534735406298258 Remember we are NOT Doctors and have NO medical training. This site is like an Encylopedia - there are many pages, many links on many topics. Support our work with any size DONATION - see left side of any page - for how to donate. You can help raise awareness of CAM.