Isolated hepatic melphalan perfusion of colorectal liver metastases: outcome and prognostic factors in 154 patients

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Isolated hepatic melphalan perfusion of colorectal liver metastases: outcome and prognostic factors in 154 patients.

BACKGROUND The aim of this study was to identify prognostic factors for local and systemic failure after isolated hepatic perfusion (IHP) with 200 mg melphalan in patients with colorectal liver metastases. PATIENTS AND METHODS Hundred and fifty-four patients were selected for IHP and underwent laparotomy. Patients were monitored for response, toxicity and survival. Univariate and multivariate...

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Hyperthermic isolated hepatic perfusion using melphalan for patients with ocular melanoma metastatic to liver.

PURPOSE Liver metastases are the sole or life-limiting component of disease in the majority of patients with ocular melanoma who recur. Because median survival after diagnosis of liver metastases is short and no satisfactory treatment options exist, we have conducted clinical trials evaluating isolated hepatic perfusion (IHP) for patients afflicted with this condition. EXPERIMENTAL DESIGN Twe...

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Isolated hepatic perfusion with high-dose melphalan for the treatment of colorectal metastasis confined to the liver.

BACKGROUND Isolated hepatic perfusion (IHP) involves complete vascular isolation of the liver to allow treatment with doses that would be toxic if delivered systemically. A phase II study of IHP in patients with colorectal metastases confined to the liver was performed. METHODS Seventy-three patients with irresectable colorectal metastases underwent IHP with high-dose melphalan (200 mg) for 1...

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Surgical outcomes and prognostic factors in patients with synchronous colorectal liver metastases.

CONTEXT Colorectal cancer is the second most prevalent cancer worldwide, and the liver is the most common site of metastases. Surgical resection of colorectal liver metastases provides the sole possibility of cure and the best odds of long-term survival. Objectives To describe surgical outcomes and identify features associated with disease prognosis in patients submitted to synchronous colorect...

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Survival time and prognostic factors of patients with initial noncurative colorectal liver metastases

The true survival benefit of different curative strategies involving type of operative procedure and timing for patients with initial noncurative colorectal liver metastases remains uncertain. The goal of this study was to examine the effect of primary tumor resection on patients' survival and to clarify the predictive factors related to overall survival (OS).This was a retrospective study that...

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ژورنال

عنوان ژورنال: Annals of Oncology

سال: 2008

ISSN: 0923-7534

DOI: 10.1093/annonc/mdn032