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Isolated limb infusion: A review
Authors:Hidde M. Kroon MD  John F. Thompson MD
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
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.
Keywords:regional metastatic melanoma  isolated limb infusion  regional chemotherapy  melphalan  actinomycin‐D  hypoxia
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