Document Detail


Clinical management and current research in isolated limb perfusion for sarcoma and melanoma.
MedLine Citation:
PMID:  9499194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Currently, isolated limb perfusion (ILP) attracts major interest in the treatment of soft tissue sarcoma and melanoma confined to the limb. The procedure combines innovative approaches such as hyperthermia, the use of cytokines, as well as the administration of high-dose chemotherapy. Although used since more than 40 years, the basic knowledge on the mode of action of ILP is still limited. Besides regional toxicity, systemic effects following the application of rhTNF in the perfusion circuit have to be taken into account. Furthermore, WHO criteria of tumor response are rarely met after perfusion of sarcomas. To overcome this, new modalities based on tumor metabolism are currently under investigation. Also the clinical decision on how to proceed after a successful ILP is discussed.
Authors:
P Hohenberger; C Kettelhack
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Oncology     Volume:  55     ISSN:  0030-2414     ISO Abbreviation:  Oncology     Publication Date:    1998 Mar-Apr
Date Detail:
Created Date:  1998-03-09     Completed Date:  1998-03-09     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0135054     Medline TA:  Oncology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  89-102     Citation Subset:  IM    
Affiliation:
Max Delbrück Center for Molecular Medicine, Virchow Klinikum, Humboldt University, Berlin, Germany. hohenberger@rrk-berlin.de
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MeSH Terms
Descriptor/Qualifier:
Antineoplastic Agents / administration & dosage*
Body Temperature
Cytokines / physiology,  therapeutic use*
Extremities*
Humans
Hyperthermia, Induced*
Melanoma / therapy*
Perfusion / methods*
Sarcoma / therapy*
Survival Analysis
Treatment Outcome
Tumor Necrosis Factor-alpha / therapeutic use
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 0/Cytokines; 0/Tumor Necrosis Factor-alpha
Comments/Corrections
Erratum In:
Oncology 1998 Jul-Aug;55(4):344

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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