Is it the right moment to include hyperthermic intraperitoneal chemotherapy as standard in ovarian cancer management? A reappraisal

Ovarian cancer is a leading cause of cancer-related death in women and often is diagnosed at an advanced stage with diffuse peritoneal carcinomatosis. Since it is mainly confined to the peritoneal cavity, even after recurrence, it is an ideal target for loco-regional therapy. The standard therapeuti...

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Veröffentlicht in:Journal of B.U. ON. 2018-12, Vol.23 (7), p.19-23
Hauptverfasser: Samartzis, Konstantinos, Thomakos, Nikolaos, Liontos, Michael, Kollia, Dimitra, Malakasis, Anastasios, Haidopoulos, Dimitrios, Bamias, Aristotelis, Rodolakis, Alexandros, Loutradis, Dimitrios
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container_end_page 23
container_issue 7
container_start_page 19
container_title Journal of B.U. ON.
container_volume 23
creator Samartzis, Konstantinos
Thomakos, Nikolaos
Liontos, Michael
Kollia, Dimitra
Malakasis, Anastasios
Haidopoulos, Dimitrios
Bamias, Aristotelis
Rodolakis, Alexandros
Loutradis, Dimitrios
description Ovarian cancer is a leading cause of cancer-related death in women and often is diagnosed at an advanced stage with diffuse peritoneal carcinomatosis. Since it is mainly confined to the peritoneal cavity, even after recurrence, it is an ideal target for loco-regional therapy. The standard therapeutic strategy of advanced ovarian cancer is cytoreductive surgery followed by systemic chemotherapy. Intraperitoneal chemotherapy used as adjuvant therapy has shown a survival benefit in ovarian cancer. Hyperthermic intraperitoneal chemotherapy (HIPEC) has several advantages over simple intraperitoneal chemotherapy. This has prompted the use of cytoreductive surgery (CRS) followed by HIPEC in the management of ovarian cancer as a part of first and second line treatment for recurrent disease.
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subjects Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Chemotherapy, Cancer, Regional Perfusion - mortality
Combined Modality Therapy
Cytoreduction Surgical Procedures - mortality
Disease Management
Disease-Free Survival
Female
Humans
Hyperthermia, Induced - mortality
Ovarian Neoplasms - pathology
Ovarian Neoplasms - therapy
Survival Rate
title Is it the right moment to include hyperthermic intraperitoneal chemotherapy as standard in ovarian cancer management? A reappraisal
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