Abstract
Patients who have unresectable primary or metastatic cancers of the liver or peritoneal carcinomatosis are rarely curable. The large number of regional treatments for the liver or peritoneal cavity that are under clinical evaluation underscore the difficulty in treating these conditions. In general, the rationale for regional therapies to intensify therapy, while minimizing unnecessary systemic toxicity, has been well established (1–3). Over the past 6 yr, regional treatment protocols, using specialized surgical techniques to deliver regional therapy to the peritoneal cavity or liver, have been under clinical evaluation in the Surgery Branch of the National Cancer Institute (NCI). These include isolated hepatic perfusion (IHP) for the treatment of unresectable primary or metastatic cancers confined to the liver, and continuous hyperthermic peritoneal perfusion (CHPP) for the treatment of, or prophylaxis against, peritoneal carcinomatosis.
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Alexander, H.R., Bartlett, D.L., Libutti, S.K. (2000). National Cancer Institute Experience with Regional Therapy for Unresectable Primary and Metastatic Cancer of the Liver or Peritoneal Cavity. In: Markman, M. (eds) Regional Chemotherapy. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-219-7_8
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DOI: https://doi.org/10.1007/978-1-59259-219-7_8
Publisher Name: Humana Press, Totowa, NJ
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