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Cold Atmospheric Plasma (CAP) Combined with Chemo-Radiation and Cytoreductive Surgery: The First Clinical Experience for Stage IV Metastatic Colon Cancer

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Abstract

The authors report the first clinical experience using CAP for Stage IV metastatic colon cancer. The report describes the patient’s history, chemotherapy, radiation, surgical treatment and ex-vivo and intra-operative treatment of the tumor and normal tissue with CAP. Evaluation of intra-operative temperature, oxygen and end tidal CO2 measurements during the surgery and post-surgery analysis of tissue treated by cold plasma. In vivo studies suggest that TRAIl-R1 expression increases in the CAP treated liver tissues, suggesting that the death receptor molecule may be involved in inducing apoptosis. Three-month postoperative CT scan of the abdomen and pelvis revealed no evidence of recurrent tumor at the resected and cold plasma treatment sites.

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References

  1. Siegel R, Naishadham D, Jemal A. Cancer statistics, 2012. CA Cancer J Clin. 2012;62:10–29.

    Article  Google Scholar 

  2. Chu DZ, Lang NP, Thompson C, Osteen PK, Westbrook KC. Peritoneal Carcinomatosis in non gynecologic malignancy. Cancer. 1989;63:364–7.

    Article  CAS  Google Scholar 

  3. Sadeghi B, Arvieux C, Glehen O, et al. Peritoneal carcinomatosis from non-gynecologic Smalignancies. Results from the EVOCAPE 1 multicentric prospective study. Cancer. 2000;88:358–63.

    Article  CAS  Google Scholar 

  4. Glehen O, Osinky D, Cotte E, Kwiatkowski F, Freyer G, Issac S, Trillet-lenoir V, Sayag-beaujard AC, Francois Y, Vignal J, et al. Intraperitoneal chemohyperthermia using a closed abdominal procedure and cytoreductive surgery for the treatment of peritoneal carcinomatosis: morbidity and mortality analysis of 216 concsecutive procedures. Ann Surg Oncol. 2003;10(8):863–9.

    Article  CAS  Google Scholar 

  5. Glockzin G, Rochon J, Arnold D, Sa L, Klebl F, Zeman F, Koller M, Schlitt HJ, Piso P. A prospective multicenter phase II study evaluating multimodality treatment of patients with peritoneal carcinomatosis arising from appendiceal and colorectal cancer: the combatac trial. BMC Cancer. 2013;13:67. https://doi.org/10.1186/1471-2407-13-67.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Jayne DG, Fook S, Loi C, Seow-Choen F. Peritoneal carcinomatosis from colorectal cancer. Br J Surg. 2002;89:1545–50.

    Article  CAS  Google Scholar 

  7. Piso P, Arnold D. Multimodal treatment approaches for peritoneal carcinosis in colorectal cancer. Dtsch Arztebl Int. 2011;108(47):802–8.

    PubMed  PubMed Central  Google Scholar 

  8. Kulu Y, Muller-stich B, Buchler MW, Ulrich A. Surgical treatment of peritoneal carcinomatosis: current treatment modalities. Langenbeck's Arch Surg. 2013;399(1):41–53.

    Article  Google Scholar 

  9. Franko J, Shi Q, Goldman CD, et al. Treatment of Colorectal peritoneal carcinomatosis with systemic chemotherapy: a pooled analysis of north central cancer treatment group phase III trials n9741 and n9841. J Clin Oncol. 2012;30:263–7. https://doi.org/10.1016/ejso2013.06.001.

    Article  PubMed  Google Scholar 

  10. Verwaal VJ, van Ruth S, de Bree E, et al. Randomized trial of cytoreduction and hyperthermic intraperitoneal chemotherapy versus systemic chemotherapy and palliative surgery in patients with peritoneal carcinomatosis of colorectal cancer. J Clin Oncol. 2003;21:3737–43.

    Article  Google Scholar 

  11. Riss S, Mohamed F, Dayal S, Cecil T, Stift A, Bachleitner-Hofmann T, Moran B. Peritoneal Metasases from colorectal cancer: patient selection for cytoreductive surgery and Hyperthermic Intraperitoneal chemotherapy. Eur J Surg Oncol. 2013;39(9):931–7.

    Article  CAS  Google Scholar 

  12. Elias D, Gilly F, Quenet F, et al. Peritoneal colorectal carcinomatosis treated with surgery and Perioperative Intraperitoneal Chemotherapy: Retrospective analysis of 523 patients from a multicentric French study. J Clin Oncol. 2010;28:63–8.

    Article  Google Scholar 

  13. Laroussi M, Kong M, Morfill G, Stolz W, editors. Plasma medicine. Cambridge; 2012.

    Google Scholar 

  14. Friedman A, Friedman G. Plasma medicine. Hoboken: Wiley; 2013.

    Google Scholar 

  15. Keidar M, Beilis II. Plasma Engineering: application in aerospace, nanotechnology and bionanotechnology. Oxford: Elsevier; 2013.

    Google Scholar 

  16. Morfill GE, Kong MG, Zimmermann JL. Focus on plasma medicine. Review. New J Phys. 2009;11:115011.

    Article  Google Scholar 

  17. Keidar M. Plasma for cancer treatment. Plasma Source Sci Technol. 2015;24:033001.

    Article  Google Scholar 

  18. Fridman G, Friedman G, Gutsol A, Shekhter AB, Vasilets VN, Fridman A. Applied plasma medicine. Plasma Process Polym. 2008;5:503.

    Article  CAS  Google Scholar 

  19. Vandamme M, Robert E, Pesnel S, Barbosa E, Dozias S, Sobilo J, Lerondel S, Le Pape A, Pouvesle JM. Antitumor effect of plasma treatment on U87 Glioma Xenografts: preliminary results. Plasma Process Polym. 2010;7:264.

    Article  CAS  Google Scholar 

  20. Keidar M, Walk R, Shashurin A, Srinivasan P, Sandler A, Dasgupta S, Ravi R, Guerrero-Preston R, Trink B. Cold plasma selectivity and the possibility of a paradigm shift in cancer therapy. Br J Cancer. 2011;105:1295.

    Article  CAS  Google Scholar 

  21. Vandamme M, Robert E, Lerondel S, Sarron V, Ries D, Dozias S, Sobilo J, Gosset D, Kieda C, Legrain B, Pouvesle J-M, Le Pape A. ROS implication in a new antitumor strategy based on non-thermal plasma. Int J Cancer. 2011;130:2185.

    Article  Google Scholar 

  22. Metelmann HR. What kind of impact is possible by plasma-jet in head and neck cancer?”, The 2nd International Workshop on Plasma for Cancer Treatment, Nagoya, Japan, March, 2015.

    Google Scholar 

  23. Canady J. “Development and clinical application of hybrid and cold atmospheric plasma combined with systemic chemotherapy and selective 3D conformal radiation therapy: A novel approach to the treatment of peritoneal metastases from colorectal cancer.” The 2nd International Workshop on Plasma for Cancer Treatment, Nagoya, Japan, March, 2015.

    Google Scholar 

  24. Metelmann HR, Nedrelow DS, Seebauer C, Schuster M, von Woedtke T, Weltmann K-D, Kindler S, Metelmann PH, Finkelstein SE, Von Hoff DD, Podmelle F. Head and neck cancer treatment and physical plasma. Clin Plasma Med. 2015;3:17–23.

    Article  Google Scholar 

  25. Lahiri BB, Bagavathiappan S, Jayakumar T, Philip J. Medical applications of infrared thermography: a review. Infrared Phys Technol. 2012;55(4):221–35.

    Article  Google Scholar 

  26. Ray S, et al. Establishment of human ultra-low passage colorectal cancer cell lines using spheroids from fresh surgical specimens suitable for in vitro and in vivo studies. J Cancer. 2012;3:196–206.

    Article  Google Scholar 

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Correspondence to Jerome Canady M.D. .

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Canady, J. et al. (2018). Cold Atmospheric Plasma (CAP) Combined with Chemo-Radiation and Cytoreductive Surgery: The First Clinical Experience for Stage IV Metastatic Colon Cancer. In: Metelmann, HR., von Woedtke, T., Weltmann, KD. (eds) Comprehensive Clinical Plasma Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-67627-2_9

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  • DOI: https://doi.org/10.1007/978-3-319-67627-2_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-67626-5

  • Online ISBN: 978-3-319-67627-2

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