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Electrochemotherapy for cutaneous and subcutaneous tumor lesions: a novel therapeutic approach
Authors:Alessandro Testori  Giulio Tosti  Chiara Martinoli  Giuseppe Spadola  Francesco Cataldo  Francesco Verrecchia  Federica Baldini  Massimo Mosconi  Javier Soteldo  Ines Tedeschi  Claudia Passoni  Chiara Pari  Alessandra Di Pietro  Pier Francesco Ferrucci
Affiliation:Melanoma and Muscle‐Cutaneous Sarcoma Division, European Institute of Oncology, Milan, Italy
Abstract:Electroporation uses pulsed, high‐intensity electric fields to temporarily increase cell membrane permeability by creation of pores, through which small molecules, such as chemotherapeutic agents, can diffuse inside cells before they reseal. The combination of electroporation with the administration of otherwise low‐permeant cytotoxic drugs is known as electrochemotherapy (ECT). The two most commonly used drugs are bleomycin and cisplatin. ECT has already been proven to be effective in diverse tumor histotypes, including melanoma and basal and squamous cell carcinoma, Kaposi sarcoma, and breast cancer, also in those cases nonresponding to classical chemotherapies or other loco‐regional treatment modalities, with a good safety profile. ECT can be proposed as loco‐regional therapy for disseminated cutaneous and subcutaneous tumor lesions as alternative treatment modality to conventional therapies or as palliative care, in order to improve patients' quality of life.
Keywords:electrochemotherapy  melanoma  primary skin tumors  skin metastases  subcutaneous lesions
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