title: Isolated limb perfusion of soft tissue sarcomas: a comprehensive review of literature.
abstract: Patients with primary irresectable, locally advanced soft tissue sarcomas of the limbs form a challenging group for the treating physician. Multimodality treatment is necessary to guarantee optimal limb salvage and survival rates. Since the introduction of isolated limb perfusion in the late fifties, several treatment regimens have been proposed. Isolated perfusion with melphalan and TNF-α, as part of a multimodality treatment, is regarded as the current best treatment option today. Ongoing studies are investigating potential benefit of other doses, new chemotherapeutic agents and new techniques in perfusion and radiotherapy. This article provides a historical overview of published literature and insight in upcoming treatment techniques.
authors.affiliation: Department of Surgical Oncology, University of Groningen, University Medical Center Groningen, The Netherlands.
authors.forename: Jojanneke M
authors.initials: JM
authors.lastname: Seinen
authors.forename: Harald J
authors.initials: HJ
authors.lastname: Hoekstra
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D010478:Chemotherapy, Cancer, Regional Perfusion / Q000379:methods*; D005121:Extremities; D006801:Humans; D012983:Soft Tissue Neoplasms / Q000188:drug therapy*