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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1994-7-14
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pubmed:abstractText |
In order to gain some insight into the cause of acute regional toxicity after isolated perfusion using melphalan, 15 patient-related and perfusion-technique-related factors were tested in a logistic regression model. Acute toxicity was graded according to Wieberdink's grading system. In a group of 425 patients, 362 (85%) encountered no or slight toxicity with a grade I or II reaction, and 63 (15%) patients encountered more severe toxicity with a grade III, IV, or V reaction. Most patients were treated with a standard dose of 10 or 13 mg melphalan per liter of perfused tissue for leg and arm perfusions, respectively. Factors associated with a more severe toxicity reaction proved to be tissue temperatures of 40 degrees C or higher, female gender, a deterioration of the gas values of the venous perfusate during perfusion, and perfusion at a proximal level of isolation. Consideration of these prognostic factors may lead to a further decrease of acute regional toxicity in perfusion.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0002-9610
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
167
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
618-20
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pubmed:dateRevised |
2005-11-17
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pubmed:meshHeading |
pubmed-meshheading:8209941-Adult,
pubmed-meshheading:8209941-Analysis of Variance,
pubmed-meshheading:8209941-Arm,
pubmed-meshheading:8209941-Chemotherapy, Cancer, Regional Perfusion,
pubmed-meshheading:8209941-Female,
pubmed-meshheading:8209941-Humans,
pubmed-meshheading:8209941-Hyperthermia, Induced,
pubmed-meshheading:8209941-Leg,
pubmed-meshheading:8209941-Logistic Models,
pubmed-meshheading:8209941-Male,
pubmed-meshheading:8209941-Melanoma,
pubmed-meshheading:8209941-Melphalan,
pubmed-meshheading:8209941-Middle Aged,
pubmed-meshheading:8209941-Risk Factors,
pubmed-meshheading:8209941-Skin Neoplasms
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pubmed:year |
1994
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pubmed:articleTitle |
Patient- and treatment-related factors associated with acute regional toxicity after isolated perfusion for melanoma of the extremities.
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pubmed:affiliation |
Department of Surgery, The Netherlands Cancer Institute, Amsterdam.
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pubmed:publicationType |
Journal Article
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