Abstract
This article reviews a single institution's experience with 68 patients (21 females, 47 males) prospectively treated over the last 2 decades with an aggressive local-regional approach, combining maximal cytoreductive surgery with heated intraoperative intraperitoneal chemotherapy and early postoperative intraperitoneal chemotherapy. This multimodality treatment has resulted in a median survival of 67 months. Female patients had a significantly better prognosis than males. The other significant predictive factors of survival were: age, diagnosis by incidental findings, tumor extent, pathology, and completeness of cytoreduction.
Publication types
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Research Support, Non-U.S. Gov't
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Review
MeSH terms
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Adult
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Aged
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Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
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Biopsy, Needle
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Chemotherapy, Adjuvant
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Combined Modality Therapy / methods
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District of Columbia
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Female
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Humans
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Male
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Mesothelioma / mortality
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Mesothelioma / pathology*
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Mesothelioma / therapy*
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Middle Aged
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National Institutes of Health (U.S.)
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Neoplasm Staging
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Peritoneal Neoplasms / mortality
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Peritoneal Neoplasms / pathology*
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Peritoneal Neoplasms / therapy*
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Peritoneum / pathology
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Peritoneum / surgery*
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Prognosis
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Prospective Studies
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Randomized Controlled Trials as Topic
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Risk Assessment
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Survival Analysis
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Treatment Outcome
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United States