I C T NTRAPERITONEAL ANCER HERAPY HHIICCPPRR..iinndddd ii 55//99//22000077 1111::0055::0000 AAMM C C O URRENT LINICAL NCOLOGY Maurie Markman, md, Series Editor Intraperitoneal Cancer Therapy: edited by C. WILLIAM HELM AND ROBERT P. EDWARDS, 2007 Colorectal Cancer: Evidence-Based Chemotherapy Strategies, edited by LEONARD B. SALTZ, 2007 High-Grade Gliomas: Diagnosis and Treatment, edited by GENE H. BARNETT, 2006 Cancer in the Spine: Comprehensive Care, edited by ROBERT F. MCLAIN, KAI-UWE LEWANDROWSKI, MAURIE MARKMAN, RONALD M. BUKOWSKI, ROGER MACKLIS, AND EDWARD C. BENZEL, 2006 Squamous Cell Head and Neck Cancer: edited by DAVID J. ADELSTEIN, 2005 Hepatocellular Cancer: Diagnosis and Treatment, edited by BRIAN I. CARR, 2005 Biology and Management of Multiple Myeloma: edited by JAMES R. BERENSON, 2004 Cancer Immunotherapy at the Crossroads: How Tumors Evade Immunity and What Can Be Done, edited by JAMES H. FINKE AND RONALD M. BUKOWSKI, 2004 Treatment of Acute Leukemias: New Directions for Clinical Research, edited by CHING-HON PUI, 2003 Allogeneic Stem Cell Transplantation: Clinical Research and Practice, edited by MARY J. LAUGHLIN AND HILLARD M. LAZARUN, 2003 Chronic Leukemias and Lymphomas: Biology, Pathophysiology, and Clinical Management, edited by GARY J. SCHILLER, 2003 Colorectal Cancer: Multimodality Management, edited by LEONARD SALTZ,2002 Breast Cancer: A Guide to Detection and Multidisciplinary Therapy, edited by MICHAEL H. TOROSIAN, 2002 Melanoma: Biologically Targeted Therapeutics, edited by ERNEST C. BORDEN, 2002 Cancer of the Lung: From Molecular Biology to Treatment Guidelines, edited by ALAN B. WEITBERG, 2001 Renal Cell Carcinoma: Molecular Biology, Immunology, and Clinical Management,edited by RONALD M. BUKOWSKIAND ANDREW NOVICK,2000 Current Controversies in Bone Marrow Transplantation: edited by BRIAN J. BOLWELL, 2000 Regional Chemotherapy: Clinical Research and Practice, edtied by MAURIE MARKMAN, 2000 HHIICCPPRR..iinndddd iiii 55//99//22000077 1111::0055::0011 AAMM I NTRAPERITONEAL C T ANCER HERAPY Edited by C W H . ILLIAM ELM, MA, MB BChir, FRCS Department of Obstetrics, Gynecology, and Women’s Health, Division of Gynecologic Oncology, James Graham Brown Cancer Center, University of Louisville School of Medicine, Louisville, KY and R P. E OBERT DWARDS, MD Vice Chairman of Clinical Affairs, Director, Ovarian Cancer Center of Excellence, Professor of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA HHIICCPPRR..iinndddd iiiiii 55//99//22000077 44::3399::0033 PPMM © 2007 Humana Press Inc., a division of Springer Science+Business Media, LLC 999 Riverview Drive, Suite 208 Totowa, New Jersey 07512 humanapress.com All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfi lming, recording, or otherwise without written permission from the Publisher. All papers, comments, opinions, conclusions, or recommendations are those of the author(s), and do not necessarily refl ect the views of the publisher. Due diligence has been taken by the publishers, editors, and authors of this book to assure the accuracy of the information published and to describe generally accepted practices. The contributors herein have carefully checked to ensure that the drug selections and dosages set forth in this text are accurate and in accord with the standards accepted at the time of publi- cation. Notwithstanding, as new research, changes in government regulations, and knowledge from clinical experience relating to drug therapy and drug reactions constantly occurs, the reader is advised to check the product information provided by the manufacturer of each drug for any change in dosages or for additional warnings and contraindications. This is of utmost importance when the recommended drug herein is a new or infrequently used drug. It is the responsibility of the treating physician to determine dosages and treatment strategies for individual patients. Further it is the responsibility of the health care provider to ascertain the Food and Drug Administration status of each drug or device used in their clinical practice. The publisher, editors, and authors are not responsible for errors or omissions or for any consequences from the application of the information presented in this book and make no warranty, express or implied, with respect to the contents in this publication. This publication is printed on acid-free paper. ∞ ANSI Z39.48-1984 (American National Standards Institute) Permanence of Paper for Printed Library Materials. Photocopy Authorization Policy: Authorization to photocopy items for internal or personal use, or the internal or personal use of specifi c clients, is granted by Humana Press Inc., provided that the base fee of US $30.00 per copy is paid directly to the Copyright Clearance Center at 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license from the CCC, a separate system of payment has been arranged and is acceptable to Humana Press Inc. The fee code for users of the Transactional Reporting Service is: [978-1-58829-878-2/07 $30.00]. 10 9 8 7 6 5 4 3 2 1 Library of Congress Control Number: 2006939955 ISBN: 978-1-58829-878-2 e-ISBN: 978-1-59745-195-6 HHIICCPPRR..iinndddd iivv 55//99//22000077 1111::0055::0011 AAMM Preface This collaborative work is the result of a gathering of some of the leaders in the fi eld of intraperitoneal chemotherapy for ovarian cancer and hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis at an International Symposium held at the University of Louisville, Kentucky, in May 2005. All the speakers at that symposium have contributed chapters to this work. The Symposium was held 25 years after Dr. John Spratt, a surgeon at the University of Louisville, reported for the fi rst time ever delivery of hyperther- mic intraperitoneal chemotherapy to a male patient with pseudomyxoma peritonei. It is to him that this book is dedicated. Although much has happened in the intervening quarter century, the revolution has been slow to develop and it is only recently that the tide has turned widely in favor of directing tumoricidal therapy to the peritoneal cavity for the treatment of Dr John Spratt intraperitoneal malignancies. Oncologists of surgi- 1929–2005 cal, gynecologic and medical bents from all over the World have played their part in these developments. Professor of Surgery We hope that this volume will contribute to a greater University of Louisville understanding of where we are now, how we got Louisville, KY here, and where we are going. C. William Helm Robert P. Edwards v HHIICCPPRR..iinndddd vv 55//99//22000077 1111::0055::0011 AAMM Acknowledgments The editors extend their thanks to their editorial assistant, Ms. Leta Weedman, for her guidance and tireless help during the production of this book. We are also indebted to all the contributors who have so eagerly given their energy and time to share their knowledge and experience in this exciting new arena of cancer treatments that will give hope to patients around the world. vii HHIICCPPRR..iinndddd vviiii 55//99//22000077 1111::0055::0011 AAMM Contents Preface ...................................................................................................................v Acknowledgments ...............................................................................................vii Contributors ..........................................................................................................xi Introduction by David S. Alberts ....................................................................xiii 1. Management of Ovarian Cancer: The Theory ...............................................1 Maurie Markman 2. Management of Ovarian Cancer: Clinical Trials .........................................11 Maurie Markman 3. A Systematic Review and Meta-Analysis of Randomized Trials ...............31 Kenneth Jaaback 4. Immunobiology and Intraperitoneal Immunobiologics in Ovarian Cancer ........................................................................................45 Ralph S. Freedman 5. Intraperitoneal Chemotherapy: Technique and Complications ...................55 Joan L. Walker 6. Hyperthermia and Chemotherapy: The Science ..........................................71 Roger A. Vertrees, Jeffrey M. Jordan, and Joseph B. Zwischenberger 7. Hyperthermic Intraperitoneal Chemotherapy in Nongynecologic Cancers ...................................................................................................101 Bing Yi, Jason M. Foster, and Brian W. Loggie 8. Peritoneal Carcinomatosis of Colorectal Origin ........................................119 Frans A.N. Zoetmulder 9. Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Ovarian Cancer: Experience in France ...................131 Olivier Glehen and Francois-Noel Gilly 10. Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Ovarian Cancer: World Experience ........................147 C. William Helm 11. Techniques of Delivering Hyperthermic Intraperitoneal Chemotherapy ........................................................................................163 Jesus Esquivel, Paul H. Sugarbaker, and C. William Helm ix HHIICCPPRR..iinndddd iixx 55//99//22000077 1111::0055::0011 AAMM x Contents 12. Future Directions in the Delivery of Hyperthermic Intraperitoneal Chemotherapy ........................................................................................179 Scott Richard and Robert P. Edwards Index ..................................................................................................................187 HHIICCPPRR..iinndddd xx 55//99//22000077 1111::0055::0011 AAMM Contributors David S. Alberts, md • Professor, Director, Arizona Cancer Center Regents Professor of Medicine, Pharmacology, Nutritional Sciences, Public Health, and BIO5,University of Arizona, Tucson, AZ Robert P. Edwards, md • Vice Chairman of Clinical Affairs, Director, Ovarian Cancer Center of Excellence, Professor of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA Jesus Esquivel, md, facs • Director Peritoneal Surface Malignancy Program, St. Agnes Hospital, Baltimore, MD Ralph S. Freedman, md, phd • Professor, University of Texas M D Anderson Cancer Center, Houston, TX Jason M. Foster, md • Assistant Professor of Surgical Oncology, Department of Surgery, Creighton University Medical Center, Creighton University, Omaha, NE Francois-Noël Gilly, md, phd • Professor of Surgery, Department of Oncological Surgery, Centre Hospitalier Lyon Sud, 69495 Lyon, France Olivier Glehen, md, phd • Professor of Surgery, Department of Oncological Surgery, Centre Hospitalier Lyon Sud, 69495 Lyon, France C. William Helm, ma, mb bchir, frcs • Department of Obstetrics, Gynecology, and Women’s Health, Division of Gynecologic Oncology, James Graham Brown Cancer Center, University of Louisville School of Medicine, Louisville, KY Kenneth Jaaback, mb bch, franzcog • Consultant in Gynecologic Oncology Bath Royal United Hospital, NHS Trust, Bath, UK Jeffrey M. Jordan, md, phd candidate • James W. McLaughlin Fellow, University of Texas Medical Branch, Houston, TX Brian W. Loggie, md • Professor of Surgery, Director, Cancer Center, Creighton University Medical Center, Creighton University, Omaha, NE Maurie Markman, md • Professor, Vice President for Clinical Research, University of Texas M D Anderson Cancer Center, Houston, TX Scott Richard, md • Professor of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburg, PA PaulH. Sugarbaker,md,facs,frcs • Washington Cancer Institute, Washington, DC xi HHIICCPPRR..iinndddd xxii 55//99//22000077 1111::0055::0011 AAMM