Breaking News
January 21, 2019 - High Levels of Activity, Motor Ability Linked to Better Cognition
January 21, 2019 - Killer blows? Knockout study of pair of mouse MicroRNA provides cancer insight
January 21, 2019 - Buffalo researchers receive grant to quicken development of generic equivalents of contraceptives
January 21, 2019 - One-third of pregnant women do not believe cannabis is harmful to their fetus
January 21, 2019 - Fiderstat could be used as chemopreventative drug for intestinal cancers caused by APC gene mutations
January 21, 2019 - Modifying healthcare delivery practices may improve discussions between youth and healthcare providers
January 21, 2019 - UNIST researcher named as recipient of Merck’s 2018 Life Science Awards
January 21, 2019 - How Getting a Flu Shot Could Save Your Life
January 21, 2019 - Surgical adhesions can be treated, prevented in mice
January 21, 2019 - Increased physician-targeted marketing associated with higher opioid overdose deaths
January 21, 2019 - Researchers uncover specific microbial signatures of intestinal disease
January 21, 2019 - Study to investigate new targeted oral treatments for severe asthma
January 21, 2019 - Plan Your Plate | NIH News in Health
January 21, 2019 - Fecal occult blood test may improve CRC outcomes in some
January 21, 2019 - Blood test detects Alzheimer’s disease years before symptoms develop
January 21, 2019 - Mount Sinai joins with Paradigm and ReqMed to repurpose drug for treatment of MPS
January 21, 2019 - FDA Advisory Committee Votes on Zynquista (sotagliflozin) as Treatment for Adults with Type 1 Diabetes
January 21, 2019 - The causes and complications of snoring
January 21, 2019 - Placenta adapts and compensates when pregnant mothers have poor diets or low oxygen
January 21, 2019 - New implant could restore the transmission of electrical signals in injured central nervous system
January 21, 2019 - Rapid-acting fentanyl test strips found to be effective at reducing overdose risk
January 21, 2019 - Coronary Artery Calcium May Help Predict CVD in South Asians
January 21, 2019 - The mystery of the super-ager
January 21, 2019 - Scientists develop smart microrobots that can change shape depending on their surroundings
January 21, 2019 - Keep Moving to Keep Brain Sharp in Old Age
January 21, 2019 - Despite progress, gay fathers and their children still structurally stigmatized
January 21, 2019 - New drug for treating liver parasites in vivax malaria
January 21, 2019 - Merck recognized with 2018 Life Science Industry Award for best use of social media
January 21, 2019 - Coeur Wallis equips the canton of Valais with 260 SCHILLER defibrillators
January 21, 2019 - Scientists propose quick and pain-free method for diagnosing kidney cancer
January 21, 2019 - Signs of memory loss could point to hearing issues
January 21, 2019 - HeartFlow Analysis shows highest diagnostic performance for detecting coronary artery disease
January 21, 2019 - How Much Caffeine is Too Much?
January 21, 2019 - Take a timeout before you force your child to apologize
January 21, 2019 - Scientists design two AI algorithms to improve early detection of cognitive impairment
January 21, 2019 - Novel therapy for children with chronic hormone deficiency provides lifeline for parents
January 21, 2019 - Bioethicists call for oversight of poorly regulated, consumer-grade neurotechnology products
January 21, 2019 - Study shows hereditary hemochromatosis behind many cancers and joint diseases
January 21, 2019 - Short bouts of stairclimbing throughout the day can improve cardiovascular health
January 20, 2019 - Liver Transplant Survival May Improve With Race Matching
January 20, 2019 - Study implicates hyperactive immune system in aging brain disorders
January 20, 2019 - Cancer Diagnosis May Quadruple Suicide Risk
January 20, 2019 - Parkinson’s disease experts devise a roadmap
January 20, 2019 - Research brings new hope to treating degenerative brain diseases
January 20, 2019 - Scientists pinpoint a set of molecules that wire the body weight center of the brain
January 20, 2019 - Researchers get close to developing elusive blood test for Alzheimer’s disease
January 20, 2019 - UCLA researchers demonstrate new technique to develop cancer-fighting T cells
January 20, 2019 - Researchers discover how cancer cells avoid genetic meltdown
January 20, 2019 - Exercise makes even the ‘still overweight’ healthier: study
January 20, 2019 - University of Utah to establish first-of-its-kind dark sky studies minor in the US
January 20, 2019 - School-based nutritional programs reduce student obesity
January 20, 2019 - Improved maternity care practices in the southern U.S. reduce racial inequities in breastfeeding
January 20, 2019 - New enzyme biomarker test indicates diseases and bacterial contamination
January 20, 2019 - Republican and Democratic governors have different visions to transform health care, say researchers
January 20, 2019 - Researchers discover that spin flips happen in only half a picosecond in the course of a chemical reaction
January 20, 2019 - Suicide Risk Up More Than Fourfold for Cancer Patients
January 20, 2019 - Doctors find 122 nails in Ethiopian’s stomach
January 20, 2019 - UV disinfection technology eliminates up to 97.7% of pathogens in operating rooms
January 20, 2019 - Researchers discover mechanism which drives leukemia cell growth
January 20, 2019 - AHA: Infection as a Baby Led to Heart Valve Surgery for Teen
January 20, 2019 - Injection improves vision in a form of childhood blindness
January 20, 2019 - Multiple sclerosis therapies delay progression of disability
January 20, 2019 - New study finds infrequent helmet use among bike share riders
January 20, 2019 - Clearing up information about corneal dystrophies
January 20, 2019 - Researchers describe new behavior in energy metabolism that refutes existing evidence
January 20, 2019 - New study takes first step toward treating endometriosis
January 20, 2019 - Researchers find how GREB1 gene promotes resistance to prostate cancer treatments
January 20, 2019 - Replacing Sitting Time With Activity Lowers Mortality Risk
January 20, 2019 - A simple, inexpensive intervention makes birth safer for moms and babies in parts of Africa
January 19, 2019 - New anti-inflammatory compound acts as ‘surge protector’ to reduce cancer growth
January 19, 2019 - Significant flaws found in recently released forensic software
January 19, 2019 - New Leash on Life? Staying Slim Keeps Pooches Happy, Healthy
January 19, 2019 - Men and women remember pain differently
January 19, 2019 - Rising air pollution linked with increased ER visits for breathing problems
January 19, 2019 - Study uses local data to model food consumption patterns among Seattle residents
January 19, 2019 - The brain’s cerebellum plays role in controlling reward and social behaviors, study shows
January 19, 2019 - Relationship between nurse work environment and patient safety
January 19, 2019 - Pioneering surgery restores movement to children paralyzed by acute flaccid myelitis
January 19, 2019 - Genetic variants linked with risk tolerance and risky behaviors
January 19, 2019 - New research provides better understanding of our early human ancestors
Lesser-known CRS-HIPEC treatment for cancers that have spread to abdominal cavity

Lesser-known CRS-HIPEC treatment for cancers that have spread to abdominal cavity

image_pdfDownload PDFimage_print

While cancer treatment advances are being made in the areas of precision medicine and immunotherapy, a unique combination of traditional therapies can also provide some cancer patients a treatment option that may provide significant benefit. For instance a lesser-known treatment combining cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is being increasingly used to treat cancers that have spread to the abdominal cavity – a condition known as peritoneal metastases. This treatment strategy involves the surgical removal of metastatic cancer deposits followed by heated chemotherapy given within the abdominal cavity designed to obliterate the remaining invisible cancer cells that may be present in the tissues.

Rutgers Cancer Institute of New Jersey is one of the few centers in the region whose surgeons have vast expertise in managing patients’ disease through this unique treatment. Having recently expanded its surgical and research focus on cancers of the abdominal cavity, the Institute has named H. Richard Alexander, MD, FACS, as its new chief surgical officer. Dr. Alexander, who is also a professor of surgery at Rutgers Robert Wood Johnson Medical School, has been pioneering the development of CRS-HIPEC through its evolution over the past two decades. He shares more about the procedure.

Q: Tell us more about CRS-HIPEC.

A: CRS and HIPEC are really two complementary components of treatment. CRS is the systematic removal of all visible cancer deposits in the abdominal cavity, but it is ineffective at addressing invisible or microscopic tumor deposits that are present in the abdominal tissues. HIPEC is a strategy of delivering an intensive dose of chemotherapy right to the tissues that are at risk of harboring invisible cancer cells. HIPEC is administered in the operating room right after the CRS is completed. It usually takes about 90 minutes and may be an optimal way of ensuring that the chemotherapy is distributed to all the tissues in the abdomen. It also takes advantage of the fact that many chemotherapy agents have an enhanced effect on killing cancer cells under hyperthermic conditions — when the temperature in the tissues is slightly increased.

Q: What kind of cancers can it treat?

A: The CRS and HIPEC combination has been used to treat patients with a variety of cancers that have the ability to spread diffusely throughout the abdominal cavity such as colorectal cancer, appendiceal cancer, ovarian cancer, mesothelioma, and in some cases gastric or other cancers. There is growing evidence to support the use of CRS and HIPEC for some conditions. However, its use in some settings is more controversial.

Q: Who is the best candidate for this procedure?

A: A surgical oncologist with expertise in CRS and HIPEC is the best person to discuss whether or not this treatment is an option for someone who has abdominal spread of cancer. The decision to proceed with the procedure should be a collaborative one involving the patient, the family, and all the cancer specialists involved. Ideally, it should be considered part of a thoughtful strategy that may include additional treatment before and after the procedure to assist in controlling the cancer. A patient should be in fundamentally good medical condition and not have other medical problems that might make the procedure unacceptably risky. Sometimes, additional testing may be necessary prior to the procedure.

Q: Why is this procedure not widely offered at all hospitals or cancer treatment centers?

A: CRS-HIPEC requires specialized expertise and equipment not available at all treatment centers. It is widely acknowledged that complications and the risk of the procedure are minimized when performed by surgeons and at medical centers with experience in this area, such as Rutgers Cancer Institute of New Jersey.

Q: What is the benefit of receiving CRS-HIPEC at a National Cancer Institute-designated Comprehensive Cancer Center like Rutgers Cancer Institute?

A: The reality is that patients who undergo the CRS-HIPEC procedure, even when it is considered successful, are at a higher risk of experiencing a recurrence at some point during follow-up surveillance. Because of that it is beneficial for a patient to be cared for at a facility where second-line treatment options and access to clinical trials are available. ​

Source:

https://www.cinj.org/turning-heat-chemotherapy

Tagged with:

About author

Related Articles