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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7-8
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pubmed:dateCreated |
1995-1-12
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pubmed:abstractText |
Twenty-two patients with recurrent melanoma of the limbs, underwent Hyperthermic Antiblastic Perfusion (HAP). HAP lasted 60 min, with maximal local temperature of 40.5-42 degrees C and melphalan 10 mg/L limb volume as antiblastic agent. Fourteen patients had in-transit metastases and 8 local recurrences. Regional nodes were involved in 6 patients. Systemic leakage monitored with 125I or 99Tc ranged between 5 and 30% (mean 19%). No operative mortality nor major complications occurred. Local toxicity scored Wieberdink grade I in 6 patients, grade II in 11 and III in 5. Response rate (UICC) in the 9 patients treated with unexcised lesions was 88% (55% complete responses). After a median follow-up of 27 months (1-92) 9 patients relapsed after a median time of 17 months, and 15 patients are currently disease free, 4 of them being re-excised and one reperfused. Actuarial 5 year survival is 67%, with 45% disease free to the first relapse. Our results are consistent with the literature indicating HAP as a safe procedure with a high evidence of clinical responses.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0026-4733
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
49
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
681-91
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7991176-Adult,
pubmed-meshheading:7991176-Aged,
pubmed-meshheading:7991176-Aged, 80 and over,
pubmed-meshheading:7991176-Antineoplastic Agents,
pubmed-meshheading:7991176-Female,
pubmed-meshheading:7991176-Fever,
pubmed-meshheading:7991176-Humans,
pubmed-meshheading:7991176-Leg,
pubmed-meshheading:7991176-Lymphatic Metastasis,
pubmed-meshheading:7991176-Male,
pubmed-meshheading:7991176-Melanoma,
pubmed-meshheading:7991176-Middle Aged,
pubmed-meshheading:7991176-Neoplasm Recurrence, Local,
pubmed-meshheading:7991176-Perfusion,
pubmed-meshheading:7991176-Retrospective Studies,
pubmed-meshheading:7991176-Skin Neoplasms,
pubmed-meshheading:7991176-Treatment Outcome
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pubmed:articleTitle |
[Isolated hyperthermic antiblastic perfusion in recurrent melanoma of the extremities].
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pubmed:affiliation |
Istituto di Clinica Chirurgica e Terapi Chirurgica I, Università degli Studi di Genova.
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pubmed:publicationType |
Journal Article,
English Abstract
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