Translational and pharmacological principles of hyperthermic intraperitoneal chemotherapy for ovarian cancer

Laura M.C. Vos, S. Lot Aronson, Willemien J. van Driel, Alwin D.R. Huitema, Jules H. Schagen van Leeuwen, Christine A.R. Lok, Gabe S. Sonke

Onderzoeksoutput: Bijdrage aan tijdschriftArtikel recenserenpeer review

4 Citaten (Scopus)

Samenvatting

The long-term survival of advanced-stage ovarian cancer patients remains poor, despite extensive cytoreductive surgery, chemotherapy, and the recent addition of poly (ADP-ribose) polymerase inhibitors (PARPi). Hyperthermic intraperitoneal chemotherapy (HIPEC) has shown survival benefit by specifically targeting peritoneal metastases, the primary site of disease recurrence. Different aspects of how HIPEC exerts its effect remain poorly understood. Improved understanding of the effects of hyperthermia on ovarian cancer cells, the synergy of hyperthermia with intraperitoneal chemotherapy, and the pharmacological and pharmacokinetic properties of intraperitoneally administered cisplatin may help identify ways to optimize the efficacy of HIPEC. This review provides an overview of these translational and pharmacological principles of HIPEC and aims to expose knowledge gaps that may direct further research to optimize the HIPEC procedure and ultimately improve survival for women with advanced ovarian cancer.

Originele taal-2Engels
Pagina's (van-tot)86-102
Aantal pagina's17
TijdschriftBest Practice and Research: Clinical Obstetrics and Gynaecology
Volume78
DOI's
StatusGepubliceerd - jan. 2022

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