Isolated limb infusion: A review |
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Authors: | Hidde M. Kroon MD John F. Thompson MD |
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Affiliation: | 1. Sydney Melanoma Unit, Melanoma Institute Australia, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia;2. Discipline of Surgery, The University of Sydney, Sydney, New South Wales, Australia |
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Abstract: | Isolated limb perfusion is the preferred treatment option for locally advanced melanoma and sarcoma confined to a limb. This treatment results in high response rates with a satisfying duration of response in both tumours. A drawback of isolated limb perfusion, however, is the invasive and complex character of the procedure. Isolated limb infusion has been designed as a minimally invasive alternative to isolated limb perfusion. Treatment results of this simple technique, reported by various centres worldwide, show comparable response rates for melanoma and sarcoma. Therefore isolated limb infusion may replace isolated limb perfusion in the future as the preferred treatment option for these locally advanced limb tumours. J. Surg. Oncol. 2009;100:169–177. © 2009 Wiley‐Liss, Inc. |
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Keywords: | regional metastatic melanoma isolated limb infusion regional chemotherapy melphalan actinomycin‐D hypoxia |
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