Combined intraperitoneal and intravenous chemotherapy for ovarian cancer improves both disease-free interval and survival
Combined intraperitoneal and intravenous chemotherapy
for ovarian cancer improves both disease-free interval and survival, according
to results of a meta-analysis of eight trials presented at the biennial meeting
of the International Gynecologic Cancer Society (IGCS).
In the present study, K.S. Jaaback and British colleagues
found that women who received a combination of intraperitoneal and intravenous
chemotherapy were 20 percent less likely to die of their cancer and lived on average
nine months longer than women who only received intravenous chemotherapy.
"This analysis supports the Clinical Announcement
made by the U.S. National Cancer Institute in January, 2006," commented William
Hoskins, MD, former Chief of Gynecologic Oncology, Memorial Sloan-Kettering Cancer
Center, and vice-president of the IGCS.
"It emphasizes the importance of effective primary
surgery for ovarian cancer to remove as many cancer cells as possible, followed
by the best possible chemotherapy, which combines intravenous and intraperitoneal
approaches. The next challenge is to ensure that all women with ovarian cancer
have access to the best multi- disciplinary care, which includes surgery, chemotherapy
and effective symptom control."
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