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Table 3 Purported triggers of SR

From: Spontaneous regression of ALK fusion protein-positive non-small cell lung carcinoma: a case report and review of the literature

Mechanism

Potential Explanations

Biopsy

• Damage to supplying vasculature [29]

• Immune response triggered by local inflammation [29]

Immunological

• NK activation [56]

• Infection-related immune upregulation [57]

• CD8+ cell infiltration [58]

Hormonal

• Down-regulation of tumour proliferation pathways [59]

Intrinsic regression

• Upregulation of apoptotic pathways [60]

• Return of tumour cell differentiation [61]

• Removal of carcinogen [62]