Journal of Hebei Medical University

Previous Articles     Next Articles

Clinical observation of hyperthermic intraperitoneal chemotherapy with paclitaxel in patients with advanced ovarian cancer#br#

  

  1. .Department of Gynecology, the Second Hospital of Hebei Medical University,Shijiazhuang
    050000, China; 2.Department of Obstetrics and Gynecology, the Bethune International Peace
    Hospital of PLA, Shijiazhuang 050082, China; 3.Department of Neurosurgery, the Second
    Hospital of Hebei Medical University, Shijiazhuang 050000, China
  • Online:2017-12-25 Published:2017-12-19

Abstract: [Abstract]〓Objective〖HTSS〗〓To evaluate the effect of hyperthermic intraperitoneal chemotherapy with paclitaxel after cytoreductive surgery(CRS) in patients with advanced ovarian cancer.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 46 cases of advanced(stage Ⅲ-Ⅳ) ovarian cancer patients were included in our study, 23 cases in study group and 23 cases in control group randomly. The study group was treated by hyperthermic intraperitoneal chemotherapy with paclitaxel and venous chemotherapy with oxaliplatin and docetaxel regimen after CRS. While the control group was treated by venous chemotherapy with oxaliplatin and docetaxel regimen after CRS only.Clinical treatment results for toxicity and adverse reactions, curative effects, remission rate of tumor, controlled rate of ascites, quality of life, and progressionfree survival(PFS) were compared and analyzed after treatment.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The differences of the total remission rate of tumor and curative effects between two groups were not statistically significant(P>005). The controlled rate of ascites and KPS score in the study group were all better than patients in the control group(P<005). The PFS is also beteer than that of the control group(P<005).The differences in the rate of toxicity and adverse reactions between the study group and the control group were not statistically significant(P>005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Applying the hyperthermic intraperitoneal chemotherapy with paclitaxel to treat advanced ovarian cancer after CRS can improve the controlled rate of ascites, KPS score, PFS and with little toxicity and adverse reactions.

Key words: ovarian neoplasms, chemotherapy, cancer, regional perfusion, paclitaxel