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顺铂胸腔内热化疗治疗伴有胸膜转移的卵巢癌

Hyperthermic intrathoracic chemotherapy with cisplatin for ovarian cancer with pleural metastasis.

作者信息

Jun Su Youn, Seok Yang Ki, Kato Tomoyasu, Chun Da Som, Lee Yoon Hee, Chong Gun Oh, Lee Yoon Soon, Cho Young Lae, Hong Dae Gy

机构信息

Department of Obstetrics and Gynecology, Kyungpook National University Medical Center, Daegu, Korea.

Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Medical Center, Daegu, Korea.

出版信息

Obstet Gynecol Sci. 2017 May;60(3):308-313. doi: 10.5468/ogs.2017.60.3.308. Epub 2017 May 15.

DOI:10.5468/ogs.2017.60.3.308
PMID:28534018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5439281/
Abstract

Intrathoracic metastasis of ovarian cancer has poor prognosis regardless of treatment modality. Recent development of surgical techniques and the new concept of direct infusion of chemotherapeutic agents with hyperthermia could help with the treatment of disseminated diseases in ovarian cancer. Using video-assisted thoracoscopic surgery and intracavitary chemotherapy with hyperthermia, we tried hyperthermic intrathoracic chemotherapy for a case of stage IV high-grade serous ovarian cancer with pleural metastasis. There was no high-grade complication related to the procedure. The patient is alive without disease at 32 months after initial treatment.

摘要

无论采用何种治疗方式，卵巢癌的胸内转移预后都很差。外科技术的最新发展以及化疗药物热灌注的新概念可能有助于治疗卵巢癌的播散性疾病。我们采用电视辅助胸腔镜手术和腔内热化疗，对1例伴有胸膜转移的IV期高级别浆液性卵巢癌患者尝试进行胸腔内热化疗。该手术未出现严重并发症。患者在初始治疗后32个月仍存活且无疾病复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/319c/5439281/f31da79d6bc1/ogs-60-308-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/319c/5439281/5b69125a0266/ogs-60-308-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/319c/5439281/f31da79d6bc1/ogs-60-308-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/319c/5439281/5b69125a0266/ogs-60-308-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/319c/5439281/f31da79d6bc1/ogs-60-308-g002.jpg

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本文引用的文献

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晚期肺癌热胸内化疗的叙述性综述。
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Ann Surg Oncol. 2015 May;22(5):1570-5. doi: 10.1245/s10434-014-4157-9. Epub 2014 Nov 13.
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Cytoreductive surgery and hyperthermic intrathoracic chemotherapy perfusion for malignant pleural tumours: perioperative management and clinical experience.细胞减灭术和胸腔内热灌注化疗治疗恶性胸膜肿瘤：围手术期管理和临床经验。
Eur J Cardiothorac Surg. 2013 Apr;43(4):801-7. doi: 10.1093/ejcts/ezs418. Epub 2012 Aug 10.
6
Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) for persistent and recurrent advanced ovarian carcinoma: a multicenter, prospective study of 246 patients.细胞减灭术和腹腔内热灌注化疗（HIPEC）治疗持续性和复发性晚期卵巢癌：246 例多中心前瞻性研究。
Ann Surg Oncol. 2012 Dec;19(13):4052-8. doi: 10.1245/s10434-012-2510-4. Epub 2012 Jul 24.
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Secondary cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for recurrent epithelial ovarian cancer: a multi-institutional study.二次细胞减灭术和腹腔内热灌注化疗治疗复发性上皮性卵巢癌：多中心研究。
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