Intraperitoneal Chemotherapy for Women with Epithelial Ovarian Cancer

Author:

Trimble Edward L.12,Thompson Sharon2,Christian Michaele C.1,Minasian Lori1

Affiliation:

1. a National Cancer Institute, Bethesda, Maryland, USA

2. b Johns Hopkins Hospital, Baltimore, Maryland, USA

Abstract

Abstract Learning Objectives After completing this course, the reader will be able to: Assess the rationale behind using i.p. chemotherapy for epithelial ovarian cancer patients and critically evauate the data supporting its use.Interpret the argument that i.p. chemotherapy cannot be accepted as standard of care for first-line systemic treatment of advanced ovarian carcinoma.Determine which epithelial ovarian cancer patients may be appropriate for i.p. chemotherapy.Avoid and/or manage the toxicities observed with i.p. chemotherapy. CME Access and take the CME test online and receive 1 AMA PRA Category 1 Credit™ at CME.TheOncologist.com The CME activity for this article consists of material from both “Intraperitoneal Chemotherapy for Women with Epithelial Ovarian Cancer” (Trimble et al.) and “Intraperitoneal Chemotherapy in Patients with Advanced Ovarian Cancer: The Con View” (Vergote et al.). In 2006, i.p. chemotherapy re-emerged as a controversial topic in debates about the optimal treatment for women with advanced epithelial ovarian cancer. In this paper, we address the rationale behind i.p. chemotherapy, the data supporting its use, the selection of appropriate patients for i.p. chemotherapy, how best to avoid and manage the toxicities observed with i.p. chemotherapy, and directions for future research.

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Oncology

Reference26 articles.

1. Survival effect of maximal cytoreductive surgery for advanced ovarian carcinoma during the platinum era: A meta-analysis;Bristow;J Clin Oncol,2002

2. Pharmacokinetic rationale for peritoneal drug administration in the treatment of ovarian cancer;Dedrick;Cancer Treat Rep,1978

3. Intraperitoneal antineoplastic agents for tumors principally confined to the peritoneal cavity;Markman;Cancer Treat Rev,1986

4. A review: Intraperitoneal cisplatin in the management of patients with ovarian cancer;McClay;Gynecol Oncol,1990

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