Isolated Limb Perfusion on Nonmelanoma Skin Cancer for Limb Salvage: A Series of Four Cases
| Autor: | Luis Alberto Tavares de la Paz, Aldo Edyair Jimenez Herevia, Jefferson Nieves Condoy, Diego Hinojosa Ugarte |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Melphalan
nonmelanoma medicine.medical_specialty medicine.medical_treatment Dermatology 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Quality of life medicine skin cancer Merkel cell carcinoma business.industry General Engineering Soft tissue Retrospective cohort study medicine.disease isolated limb perfusion nonmelanoma Surgery Oncology squamous cells carcinoma Lymphadenectomy Skin cancer business Perfusion 030217 neurology & neurosurgery limb-salvage surgery medicine.drug isolated limb perfusion |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Nonmelanoma skin cancer (NMSC) is more prevalent than all the other cancers combined together. The most common regions affected by skin cancer are the head and neck, but there is a large proportion of the cases located on the limbs. They could be bulky, very extensive and/or located in specialized regions like the hands or near to a joint. Most of those cases should be amputated, with several compromises of the function and a negative impact on the patients' quality of life. Isolated limb perfusion is a proven alternative to limb salvage on soft tissue sarcomas, but there are just a few reports about its application on non-melanoma skin cancer. The aim of the article is to describe the outcomes and prove the benefits and effectiveness to avoid limb amputation when using isolated limb perfusion on locally advanced non-melanoma skin cancer. We present clinical, retrospective study as a case series report. The study includes four patients with locally advanced non-melanoma skin cancer in the limb - three cases with squamous cell carcinoma (SCC), and one patient with Merkel cell carcinoma (MCC) who underwent to tumor necrosis factor-alpha (TNFα) and melphalan based isolated perfusion of the limb (TM-ILP). Toxicity, clinical response, and limb salvage were described. Patients were treated in the oncological surgical department in a referral hospital in Mexico. The limb salvage rate was achieved in 75%. All patients had a favorable response to TM-ILP. Complete response of the tumor was noted on two (50%) of the patients (one with histopathological confirmation), the other 50% had a partial response to the TM-ILP. No serious toxicity related to TM-ILP was observed. One patient (25%) developed regional lymph involvement six months after perfusion. Lymphadenectomy was performed, and the patient subsequently has a six-year disease-free survival. In conclusion, TM-ILP could be an effective, reliable, and safe therapy on limb salvage in selected patients with non-melanoma skin cancer who are not adequate surgical candidates. |
| Databáze: | OpenAIRE |
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