Randomized Clinical Trials for Colorectal Cancer Peritoneal Surface Malignancy

Itzhak Avital, Björn L.D.M. Brücher, Aviram Nissan, Alexander Stojadinovic

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations

Abstract

Upwards of 40% of patient with colorectal cancer develop peritoneal carcinomatosis (CRCPC). Of the 2500 patients reported in the literature, 1000 underwent cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC), resulting in median survival of 22 to 63 months. However, level I data from prospective randomized trials are limited. Further trials are indicated to identify peritoneal carcinomatosis in at-risk patients early in the natural history of the disease and confirm the efficacy of multimodality therapy (CRS/HIPEC/systemic therapy) in those with CRCPC amenable to CRS in the modern era of novel targeted and cytotoxic systemic therapy.

Original languageEnglish
Pages (from-to)665-688
Number of pages24
JournalSurgical Oncology Clinics of North America
Volume21
Issue number4
DOIs
StatePublished - 1 Oct 2012
Externally publishedYes

Keywords

  • CRS
  • Carcinomatosis
  • Clinical trials
  • Colorectal cancer
  • HIPEC
  • Oxaliplatin and mitomycin
  • Prospective
  • Randomized

ASJC Scopus subject areas

  • Surgery
  • Oncology

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