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© Oxford University Press 2006.
NEWS |
Intraperitoneal Therapy for Advanced Ovarian Cancer: Will It Become Standard Care?
| The first 10% of the full text of this article appears below. |
The National Cancer Institute's recent endorsement of intraperitoneal (IP) chemotherapy as the preferred method of treating advanced ovarian cancer has met with cautious optimism about the technique's chances of helping more women survive longer.
Results of a Gynecologic Oncology Group (GOG) study, which prompted the NCI announcement in January, demonstrated that IP chemotherapy improves survival in patients with surgically treated ovarian cancer when added to intravenous (IV) therapy, compared with IV therapy alone. However, the study did nothing to assuage concerns about IP therapy's toxicity and tolerability, as fewer than half of patients completed the planned treatment. The tradeoff between survival and tolerability sets the stage for future clinical investigation to identify effective IP regimens that are more patient friendly.
"[IP chemotherapy] is not a magic bullet," said Deborah Armstrong, M.D., associate professor of medical oncology at Johns Hopkins University