title: Isolated pelvic perfusion for the treatment of unresectable primary or recurrent rectal cancer.
abstract: Between May 1990 and December 1995, 16 patients with primary or recurrent unresectable rectal cancer were treated by isolated pelvic perfusion. All patients had been previously treated and were considered unsuitable for surgery or further systemic chemotherapy or radiotherapy. The treatment was based on a perfusion lasting 90 min at 40.5 C degrees with 5-fluorouracil, mitomycin-C and mitoxantrone. Whenever technically feasible (10 cases), continuous intraarterial chemotherapy (through a Medtronic device with a catheter in the inferior mesenteric artery) was administered postoperatively. Two complete responses and 2 partial responses were observed; 8 other patients showed stable disease. One patient did not show any response. Finally, 3 patients for various reasons were not assessable. All patients experienced immediate relief of pain. No major side effects directly related to isolated pelvic perfusion were recorded; a transitory bone marrow depletion was observed in all cases. In conclusion, isolated pelvic perfusion is useful in inoperable disease of the pelvis by reliably relieving pain and thereby improving the patients quality of life.
authors.affiliation: Istituto Nazionale per lo Studio e.la Cura dei Tumori, Milan, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Vaglini
authors.forename: F
authors.initials: F
authors.lastname: Cascinelli
authors.forename: A
authors.initials: A
authors.lastname: Chiti
authors.forename: M
authors.initials: M
authors.lastname: Deraco
authors.forename: M G
authors.initials: MG
authors.lastname: Inglese
authors.forename: G
authors.initials: G
authors.lastname: Rebuffoni
authors.forename: M
authors.initials: M
authors.lastname: Rizzi
authors.forename: B
authors.initials: B
authors.lastname: Sala
authors.forename: N
authors.initials: N
authors.lastname: Santoro
authors.forename: M
authors.initials: M
authors.lastname: Santinami
mesh_terms: D000328:Adult; D000368:Aged; D000903:Antibiotics, Antineoplastic / Q000008:administration & dosage; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D006979:Hyperthermia, Induced; D008297:Male; D008875:Middle Aged; D016685:Mitomycin / Q000008:administration & dosage; D008942:Mitoxantrone / Q000008:administration & dosage; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy*; D010388:Pelvis; D010477:Perfusion / Q000009:adverse effects / Q000379:methods; D012004:Rectal Neoplasms / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D000903:Antibiotics, Antineoplastic; D000964:Antimetabolites, Antineoplastic; D016685:Mitomycin; D008942:Mitoxantrone; D005472:Fluorouracil