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Prevention and treatment of peritoneal carcinomatosis in experimental investigations with CPT-11 and oxaliplatin

 

作者: A Hribaschek,   M Pross,   R Kuhn,   S Krüger,   K Ridwelski,   W Halangk,   C Boltze,   H Lippert,  

 

期刊: Anti-Cancer Drugs  (OVID Available online 2002)
卷期: Volume 13, issue 6  

页码: 605-614

 

ISSN:0959-4973

 

年代: 2002

 

出版商: OVID

 

关键词: Animal study;colorectal carcinoma;CPT-11;oxaliplatin;peritoneal carcinomatosis

 

数据来源: OVID

 

摘要:

Following surgical resection of colorectal carcinoma, local recurrence in the tumor bed or in the mesentery remains a frequently encountered problem. Currently there are no recognized standard therapy protocols for the prevention of local recurrence or the treatment of peritoneal carcinomatosis. The aim of our trial was to investigate whether CPT-11 and oxaliplatin could decrease i.p. tumor growth in a basic experimental animal model. Experiments were performed on three groups of animals plus controls. In the first group, the cytostatic agents were applied directly following tumor cell implantation into the peritoneal cavity. In the second group, early postoperative i.p. chemotherapy (days 5, 10 and 15 following surgery) was administered. In the third group, late i.p. chemotherapy (days 15, 20 and 25 after tumor cell transfer) was administered with the intention of reducing a manifest peritoneal carcinomatosis. The trial also set out to describe any side effects observed following i.p. administration. The results indicated that CPT-11 and oxaliplatin were highly effective in reducing i.p. tumor spread after direct i.p intraoperative application. Intraperitoneal administration of CPT-11 or oxaliplatin also decreased i.p. tumor growth after early i.p. chemotherapy. CPT-11 was a little more effective with lower side effects. However, it was clear that it was not possible to treat a manifest peritoneal carcinomatosis in this way.

 

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