Hyperthermic isolated limb perfusion for extremity sarcomas

The treatment options available for extremity sarcomas are amputation or limb-sparing surgery with radiation, which may incur significant morbidity and body disfigurement. Hyperthermic isolated limb perfusion (HILP) may be an attractive option in extremity sarcomas for unresectable lesions to preser...

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Bibliographic Details
Published in:Cancer control 2001-05, Vol.8 (3), p.269-273
Main Authors: Kim, C J, Puleo, C, Letson, G D, Reintgen, D
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Antineoplastic Agents, Alkylating - administration & dosage
Bone Neoplasms - drug therapy
Bone Neoplasms - mortality
Chemotherapy, Cancer, Regional Perfusion
Female
Humans
Hyperthermia, Induced
Leg
Male
Melphalan - administration & dosage
Middle Aged
Retrospective Studies
Sarcoma - drug therapy
Sarcoma - mortality
Soft Tissue Neoplasms - drug therapy
Soft Tissue Neoplasms - mortality
Survival Rate
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Summary:The treatment options available for extremity sarcomas are amputation or limb-sparing surgery with radiation, which may incur significant morbidity and body disfigurement. Hyperthermic isolated limb perfusion (HILP) may be an attractive option in extremity sarcomas for unresectable lesions to preserve limb function and maintain quality of life. We report the outcomes of 5 patients who underwent HILP for unresectable primary or recurrent extremity sarcomas from 1994 to 2000 at our institution. All patients had initial complete clinical responses to HILP, and the limb was salvaged in 4 of the 5 patients. Complications included chronic lymphedema, neuropathic pain, and prolonged wound healing. HILP with melphalan is a safe and effective treatment option for selected patients with locally advanced and unresectable extremity sarcomas. The response rates are high, with limb salvage occurring in most patients. Further studies of larger groups of patients are warranted.
ISSN:1073-2748
1073-2748
DOI:10.1177/107327480100800307