Abstract | BACKGROUND: 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. METHODS: We report the outcomes of 5 patients who underwent HILP for unresectable primary or recurrent extremity sarcomas from 1994 to 2000 at our institution. RESULTS: 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. CONCLUSIONS: 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.
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Authors | C J Kim, C Puleo, G D Letson, D Reintgen |
Journal | Cancer control : journal of the Moffitt Cancer Center
(Cancer Control)
2001 May-Jun
Vol. 8
Issue 3
Pg. 269-73
ISSN: 1073-2748 [Print] United States |
PMID | 11378653
(Publication Type: Journal Article)
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Chemical References |
- Antineoplastic Agents, Alkylating
- Melphalan
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Antineoplastic Agents, Alkylating
(administration & dosage)
- Bone Neoplasms
(drug therapy, mortality)
- Chemotherapy, Cancer, Regional Perfusion
- Female
- Humans
- Hyperthermia, Induced
- Leg
- Male
- Melphalan
(administration & dosage)
- Middle Aged
- Retrospective Studies
- Sarcoma
(drug therapy, mortality)
- Soft Tissue Neoplasms
(drug therapy, mortality)
- Survival Rate
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