Peritoneal seeding following potentially curative resection of colonic carcinoma: implications for adjuvant therapy.

Publication/Presentation Date

8-1-1991

Abstract

Adjuvant therapeutic strategies for colon cancer are based on the knowledge of tumor recurrence patterns following potentially curative resection. Innovative methods for regional delivery of chemotherapy to the liver and peritoneal surfaces are now available to complement systemic treatment. We reviewed clinical, reoperation, and autopsy series to determine the incidence of peritoneal seeding following colon cancer resection. The data suggest a 25-35 percent peritoneal failure rate among patients that recur, indicating that intraperitoneal chemotherapy is a sensible adjuvant approach. The theory behind intraperitoneal chemotherapy and potential complications is discussed. We suggest initiation of clinical trials combining systemic and intraperitoneal chemotherapy.

Volume

34

Issue

8

First Page

723

Last Page

727

ISSN

0012-3706

Disciplines

Medicine and Health Sciences

PubMedID

1855433

Department(s)

Department of Surgery

Document Type

Article

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