Prolonged intra-arterial chemotherapy for inoperable cancer: A technique
โ Scribed by J. L. Tucker Jr.; R. W. Talley
- Publisher
- John Wiley and Sons
- Year
- 1961
- Tongue
- English
- Weight
- 275 KB
- Volume
- 14
- Category
- Article
- ISSN
- 0008-543X
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โฆ Synopsis
HERE ARE many reports2-8 indicating palli-T ative success in the treatment of inoperable cancers with chemotherapeutic agents administered intra-arterially. They have shown that relief of pain, regression in tumor size, and biopsy evidence of tumor necrosis in the follow-up period can be achieved in some patients by this technique, even though the disease may have been refractory to similar agents given intravenously.
As Sullivan et al. suggested,? localized tumors of the head and neck and of the pelvis and extremities lend themselves to treatment through their arterial blood supply. T h e majority of these reports deal with short-term administration of nitrogen mustard or related agents.
Creech and co-workers,4 as well as others,l have reported the use of alkylating agents by perfusion of an isolated vascular field with bubble oxygenators. T h e success of this method depends on surgical isolation of the vascular supply of the tumor bed so that the
๐ SIMILAR VOLUMES
I strated49 5. 7, 10, 11 that protracted intraarterial Chemotherapy with cytotoxic agents is particularly effective in shrinking or causing transient complete regression in cancer. Rest results have been observed in head and neck, limb, and liver cancer, as the specific vascularization of these area
Twelve patients with advanced locoregional (Stage III and IV) squamous cell carcinoma of the oral cavity and oropharynx underwent treatment with cisplatin, vinblastine, bleomycin, and 5-fluorouracil, given by intra-arterial infusion, as primary adjuvant therapy, in preparation for radiation therapy