Intraperitoneal chemotherapy against peritoneal carcinomatosis Current status and future perspective

被引：35

作者：

Kitayama, Joji ^{[1
]}

机构：

[1] Univ Tokyo, Dept Surg Oncol, Bunkyo Ku, Tokyo 1138655, Japan

来源：

SURGICAL ONCOLOGY-OXFORD | 2014年 / 23卷 / 02期

关键词：

Gastric cancer; Colorectal cancer; Intraperitoneal chemotherapy; Peritoneal carcinomatosis; Pharmacokinetics; ADVANCED GASTRIC-CANCER; COMPLETE CYTOREDUCTIVE SURGERY; PHASE-III TRIAL; HYALURONIC-ACID; OVARIAN-CANCER; SYSTEMIC CHEMOTHERAPY; HYPERTHERMIC CHEMOTHERAPY; IN-VIVO; MACROMOLECULAR THERAPEUTICS; COLORECTAL-CANCER;

D O I：

10.1016/j.suronc.2014.03.004

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Peritoneal carcinomatosis (PC), caused by advanced abdominal malignancies, such as those of the ovarian and gastrointestinal tracts, has an extremely poor prognosis. Intraperitoneal (IP) chemotherapy has been clinically applied for several decades, but its clinical efficacy has not been fully determined. An accumulating body of evidence suggests that cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) is the optimal treatment for selected patients with ovarian and colorectal cancers with PC. Recent studies suggest that IP administration of taxane with systemic chemotherapy in a neoadjuvant setting improves patient survival in gastric cancer with PC. The pharmacokinetics of IP-administered drugs should be primarily considered in order to optimize IP chemotherapy. Therefore, the development of specific IP drugs using newly emerging molecular targeted reagents or new drug delivery systems, such as nanomedicine or controlled absorption/release methods, is essential to improve the efficacy of IP chemotherapy. (c) 2014 Elsevier Ltd. All rights reserved.

引用

页码：99 / 106

页数：8

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