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Published in: Annals of Surgical Oncology 5/2012

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. …
Literature
1.
go back to reference Esquivel J, Sticca R, Sugarbaker P, et al. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in the management of peritoneal surface malignancies of colonic origin: a consensus statement. Society of Surgical Oncology. Ann Surg Oncol. 2007;14:128–33.PubMed Esquivel J, Sticca R, Sugarbaker P, et al. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in the management of peritoneal surface malignancies of colonic origin: a consensus statement. Society of Surgical Oncology. Ann Surg Oncol. 2007;14:128–33.PubMed
3.
go back to reference Beasley GM, Caudle A, Petersen RP, et al. A multiinstitutional experience of isolated limb infusion: defining response and toxicity in the US. J Am Coll Surg. 2009;208(5):706–15.PubMedCrossRef Beasley GM, Caudle A, Petersen RP, et al. A multiinstitutional experience of isolated limb infusion: defining response and toxicity in the US. J Am Coll Surg. 2009;208(5):706–15.PubMedCrossRef
5.
go back to reference Winder T, Lenz HJ. Mucinous adenocarcinomas with intra-abdominal dissemination: a review of current therapy. Oncologist. 2010;15(8):836–44.PubMedCrossRef Winder T, Lenz HJ. Mucinous adenocarcinomas with intra-abdominal dissemination: a review of current therapy. Oncologist. 2010;15(8):836–44.PubMedCrossRef
6.
go back to reference Salti GI, Ailabouni L, Undevia S. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for the treatment of peritoneal sarcomatosis. Ann Surg Oncol. 2012. doi:10.1245/s10434-012-2240-7. Salti GI, Ailabouni L, Undevia S. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for the treatment of peritoneal sarcomatosis. Ann Surg Oncol. 2012. doi:10.​1245/​s10434-012-2240-7.
7.
go back to reference Low RN, Barone RM. Combined diffusion-weighted and gadolinium-enhanced MRI can accurately predict the peritoneal cancer index preoperatively in patients being considered for cytoreductive surgical procedures. Ann Surg Oncol. 2012. doi:10.1245/s10434-012-2236-3. Low RN, Barone RM. Combined diffusion-weighted and gadolinium-enhanced MRI can accurately predict the peritoneal cancer index preoperatively in patients being considered for cytoreductive surgical procedures. Ann Surg Oncol. 2012. doi:10.​1245/​s10434-012-2236-3.
8.
go back to reference Koh JL, Tan TD, Glenn D, Morris DL. Evaluation of preoperative computed tomography in estimating peritoneal cancer index in colorectal peritoneal carcinomatosis. Ann Surg Oncol. 2009;16:327–33.PubMedCrossRef Koh JL, Tan TD, Glenn D, Morris DL. Evaluation of preoperative computed tomography in estimating peritoneal cancer index in colorectal peritoneal carcinomatosis. Ann Surg Oncol. 2009;16:327–33.PubMedCrossRef
9.
go back to reference Choudry HA, Mavanur A, O’Malley ME, et al. Chronic anti-inflammatory drug therapy inhibits gel-forming mucin production in a murine xenograft model of human pseudomyxoma peritonei. Ann Surg Oncol. 2012. doi:10.1245/s10434-012-2242-5. Choudry HA, Mavanur A, O’Malley ME, et al. Chronic anti-inflammatory drug therapy inhibits gel-forming mucin production in a murine xenograft model of human pseudomyxoma peritonei. Ann Surg Oncol. 2012. doi:10.​1245/​s10434-012-2242-5.
10.
go back to reference Mavanur AA, Parimi V, O’Malley M, Nikiforova M, Bartlett DL, Davison JM. Establishment and characterization of a murine xenograft model of appendiceal mucinous adenocarcinoma. Int J Exp Pathol. 2010;91(4):357–67.PubMedCrossRef Mavanur AA, Parimi V, O’Malley M, Nikiforova M, Bartlett DL, Davison JM. Establishment and characterization of a murine xenograft model of appendiceal mucinous adenocarcinoma. Int J Exp Pathol. 2010;91(4):357–67.PubMedCrossRef
11.
go back to reference Austin F, Mavanur A, Sathaiah M, et al. Aggressive management of peritoneal carcinomatosis from mucinous appendiceal neoplasms. Ann Surg Oncol. 2012. doi:10.1245/s10434-012-2241-6. Austin F, Mavanur A, Sathaiah M, et al. Aggressive management of peritoneal carcinomatosis from mucinous appendiceal neoplasms. Ann Surg Oncol. 2012. doi:10.​1245/​s10434-012-2241-6.
12.
go back to reference Baratti D, Kusamura S, Cabras AD, et al. Cytoreductive surgery with selective versus complete parietal peritonectomy followed by hyperthermic intraperitoneal chemotherapy in patients with diffuse malignant peritoneal mesothelioma: A controlled study. Ann Surg Oncol. 2012. doi:10.1245/s10434-012-2237-2. Baratti D, Kusamura S, Cabras AD, et al. Cytoreductive surgery with selective versus complete parietal peritonectomy followed by hyperthermic intraperitoneal chemotherapy in patients with diffuse malignant peritoneal mesothelioma: A controlled study. Ann Surg Oncol. 2012. doi:10.​1245/​s10434-012-2237-2.
13.
go back to reference Rossi CR, Casali P, Kusamura S, Baratti D, Deraco M. The consensus statement on the locoregional treatment of abdominal sarcomatosis. J Surg Oncol. 2008;98(4):291–4.PubMedCrossRef Rossi CR, Casali P, Kusamura S, Baratti D, Deraco M. The consensus statement on the locoregional treatment of abdominal sarcomatosis. J Surg Oncol. 2008;98(4):291–4.PubMedCrossRef
Metadata
Title
Concepts of Regional Therapies for Advanced Malignancy
Authors
T. Clark Gamblin, MD
H. Richard Alexander, MD
Robert Edwards, MD
David L. Bartlett, MD
Publication date
01-05-2012
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 5/2012
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-012-2243-4

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