The role of isolated limb perfusion for melanoma confined to the extremities

Alexander M.M. Eggermont, Albertus N. Van Geel, Johannes H.W. De Wilt, Timo L.M. Ten Hagen

Research output: Contribution to journalReview articlepeer-review

21 Citations (Scopus)

Abstract

Isolated limb perfusion with Melphalan is the best treatment option to control symptomatic multiple small in-transit metastases. When lesions are bulky, Isolated Limb Perfusion (ILP) with Tumor Necrosis Factor (TNF) + Melphalan is superior as in soft tissue sarcoma. TNF changes the pathophysiology, greatly enhances the uptake of Melphalan and destructs selectively the vasculature of large tumors. To date, ILP is not indicated in an adjuvant setting.

Original languageEnglish
Pages (from-to)371-384
Number of pages14
JournalSurgical Clinics of North America
Volume83
Issue number2
DOIs
Publication statusPublished - 1 Apr 2003
Externally publishedYes

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