Published in:
01-05-2012 | Regional Cancer Therapies
Concepts of Regional Therapies for Advanced Malignancy
Authors:
T. Clark Gamblin, MD, H. Richard Alexander, MD, Robert Edwards, MD, David L. Bartlett, MD
Published in:
Annals of Surgical Oncology
|
Issue 5/2012
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Excerpt
Management approaches for regionally advanced cancers include cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC), isolated limb infusion and perfusion, isolated liver perfusion, hepatic artery directed therapies, and other novel therapies, such as thoracic and pelvic perfusion. Surgical oncologists are incorporating these approaches with increasing frequency worldwide as safety, morbidity rate, and therapeutic considerations are better understood.
1 These advances in regional treatment options have challenged the staging systems, examined the quality of life associated with treatment, and sought to improve patient survival for diseases with limited options. Recent improvements in the understanding of tumor biology have allowed for improved selection, and in some cases a shift from palliative to a curative intent. …