期刊
CLINICAL & EXPERIMENTAL METASTASIS
卷 -, 期 -, 页码 -出版社
SPRINGER
DOI: 10.1007/s10585-023-10234-6
关键词
In transit metastasis; Uveal melanoma; Isolated limb perfusion; Isolated limb infusion; Isolated hepatic perfusion; Percutaneous hepatic perfusion
类别
For patients with cutaneous melanoma, surgical removal can lead to in-transit metastases, while for patients with uveal melanoma, the majority develop isolated liver metastases. In the era of modern immunotherapy, locoregional treatment modalities have become effective treatment options.
Patients with cutaneous melanoma can develop in-transit metastases (ITM), most often localized to limbs. For patients with uveal melanoma that develop metastatic disease, the overall majority develop isolated liver metastases. For these types of metastases, regional cancer therapies have evolved as effective treatments. Isolated limb perfusion (ILP), isolated limb infusion (ILI), isolated hepatic perfusion (IHP) and percutaneous hepatic perfusion (PHP) achieve a high local concentration of chemotherapy with minimal systemic exposure. This review discusses the mechanism and available literature on locoregional treatment modalities in the era of modern immunotherapy.
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