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Treatment of peritoneal carcinomatosis in patients with digestive cancers with combination of intraperitoneal hyperthermia and mitomycin C |
Bulletin du Cancer. Volume 91, Number 5, 10113-32, Mai 2004, Electronic journal of oncology
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 Summary
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Author(s) : Annie c. Sayag-Beaujard, Yves Francois, Olivier Glehen, Babak Sadeghi-Looyeh, Jacques Bienvenu, Gilles Panteix, Florence Garbit, Eric Grandclément, Vincent Banssillon, Jacques Vignal, Francois N. Gilly, Department of Digestive Surgery, Centre Hospitalo-Universitaire Lyon-Sud, 69495, Lyon, FRANCE. |
Summary : Peritoneal carcinomatosis in patients with digestive cancer carries a poor prognosis, with a majority of patients dying within 6 months. Mitomycin C has been reported to have some antitumor efficacy in this setting. We performed combination intraperitoneal hyperthermia and mitomycin to potentiate the effect of mitomycin C in 83 patients with peritoneal involvement due to digestive cancers. Eighty six IPCH procedures were performed using inflow temperature 46 to 49°C, using a closed circuit, during 90 minutes. Mitomycin C was administered as a perfusate at 10 mg/l. Primary tumors were essentially gastric (42) and colorectal (27). Mortality and morbidity rates were 3/83 and 5/83 respectively. For resectable tumors, the median survival time was 16 months in stage 1 and 2 carcinomatosis (malignant granulations less than 5 mm in diameter). For resectable gastric cancers with stage 1 and 2 carcinomatosis, one, two and three year actuarial survival rates were 80, 61 and 41% respectively. In conclusion, IPCH appears to be an interesting therapeutic option in patients with digestive cancers and small malignant peritoneal granulations (stage 1 and 2). |
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