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The Role of Hyperthermic Perfusion in the Treatment of Tumors of the Extremities

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Consensus on Hyperthermia for the 1990s

Abstract

Approximately 60% of all soft tissue and osteogenic sarcomas and 50% of all melanomas arise in the extremities. Treatment of these tumors has traditionally been limited to local surgical procedures, often resulting in a non-functioning limb or amputation, particularly in the case of sarcoma and in a local recurrence rate Primarily related to the biological tumor aggressiveness. A higi incidence of micrometastatic nodules has been found in most high-grade sarcomas and in high-risk melanomas in the form of “skip” or “in transit” metastases. This suggests that these tumors cannot be managed as locally confined neoplasms, being a regional disease “ab initio” and requiring loco-regional treatment.

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References

  1. R. Cavaliere, B. Mondovì, G. Moricca, and F. Di Filippo, 1983, Regional perfusion hyperthermie in: “Hyperthermia in Cancer Therapy,” F.K. Storm,ed., G.H. Fiall, Boston, pp. 369–399.

    Google Scholar 

  2. F. Di Filippo, A.M. Calabrò, and C. Citro, Isolated hyper-thermic perfusion with Cis-diammine-dichloroplatinum (II) in the treatment of limb tumors. Phase I study: Toxicity and pharmacokinetics, Exp Clin Cancer Res 6: 257 (1987).

    Google Scholar 

  3. R. Cavaliere, E.C. Giocatto, and B. Giovanella, Selective heat sensitivity of cancer cells: Biochemical and clinical studies, Cancer 20: 1357 (1967).

    Article  Google Scholar 

  4. J. Wieberdink, C. Benckhuysen, and R.P. Braat, Dosimetry in isolation perfusion of limb by assessment of perfused tissue volume and grading of toxic tissue resections, Eur Cancer Clin Oncol 18: 905 (1982).

    Article  CAS  Google Scholar 

  5. F. Ghussen, A prospective randomized study of regional extremity perfusion in patients with malignant melanoma, Ann Surg 200: 764 (1984).

    Article  PubMed  CAS  Google Scholar 

  6. F. Enneking, and A. Kagan, “Skip” metastases in osteosarcoma, Cancer 36: 2192 (1975).

    Article  PubMed  CAS  Google Scholar 

  7. R. Cavaliers, F. Di Filippo, F.S. Santori, The role of hyperthermic perfusion in the treatment of limb osteogenic sarcoma, Oncology 44: 1 (1987).

    Article  Google Scholar 

  8. F. Di Filippo, A.M. Calabrò, and A. Cavallari, The role of hyperthermic perfusion as first step in the treatment of soft tissue sarcoma of the extremities, W J Surg 12: 332 (1988).

    Article  Google Scholar 

  9. P.M. Lethi, Improved survival for soft tissue sarcoma of the extremities by regional hyperthermic perfusion, local excision and radiation therapy, Surg Gynecol Obstet 162: 149 (1986).

    Google Scholar 

  10. J.S. Stehlin, B.C. Giovanella, and A.E. Gutierrez, Fifteen years’ experience with hyperthermic perfusion for treatment of soft tissue sarcoma and malignant melanoma of the

    Google Scholar 

  11. extremities, Front Radiat Ther Oncol 18: 177 (1984).

    Google Scholar 

  12. C.P. Karakoussis, D.F. Temple, and R. Moore, Prognostic parameters in recurrent malignant melanoma, Cancer 52: 575 (1982).

    Article  Google Scholar 

  13. E.T. Krementz, Regional perfusion: Current sophistication, What next? Cancer 57: 416 (1986).

    Article  PubMed  CAS  Google Scholar 

  14. H.S. Koops, H. Martijn, and J. Oldhoff, Regional perfusion in the treatment of patients with locally metastasized malignant melanoma of the limbs, Eur J. Cancer 17: 477 (1981).

    Google Scholar 

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© 1990 Plenum Press, New York

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Di Filippo, F. et al. (1990). The Role of Hyperthermic Perfusion in the Treatment of Tumors of the Extremities. In: Bicher, H.I., McLaren, J.R., Pigliucci, G.M. (eds) Consensus on Hyperthermia for the 1990s. Advances in Experimental Medicine and Biology, vol 267. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5766-7_22

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  • DOI: https://doi.org/10.1007/978-1-4684-5766-7_22

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-5768-1

  • Online ISBN: 978-1-4684-5766-7

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