Kreuter, Alexander, van Eijk, Tina, Lehmann, Percy, Fischer, Matthias, Horn, Thomas, Assaf, Chalid, Schley, Gaston, Herbst, Rudolf, Kellner, Ivonne, Weisbrich, Christiane, Hyun, Julia, Wieland, Ulrike, Schlaak, Max, Ruebben, Albert and Lommel, Kerstin (2015). Electrochemotherapy in advanced skin tumors and cutaneous metastases - a retrospective multicenter analysis. J. Dtsch. Dermatol. Ges., 13 (4). S. 308 - 317. HOBOKEN: WILEY. ISSN 1610-0387

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Abstract

Background and objectives: Following classic treatments such as chemotherapy or radiation, only few therapeutic options remain for widespread skin tumors or cutaneous metastases. In such cases, electrochemotherapy can be considered as an alternative therapy. Patients and methods: In this retrospective study, clinical features, treatment-response, and side effects were evaluated in 56 patients treated with electrochemotherapy at 6 German dermatology departments. Results: Mean age of the patient cohort (14 men, 42 women) was 69.3 years. Overall, 20 patients with skin metastasis of advanced malignant melanoma, 13 patients with metastasized breast cancer, 15 patients with primary squamous cell carcinoma of the skin or metastases of carcinoma of different origin, and 8 patients with cutaneous lymphoma or sarcoma were included. Overall response rate was 44.6 % (10.7 % complete response; 33.9 % partial response). In contrast, 31 (55.4 %) patients did not respond (12.5 %, stable disease; 42.9 % tumor progression). Melanomas and cutaneous lymphomas or sarcomas had a significantly better response than carcinomas. In about a quarter of patients, improvement of tumor-induced exudation, foetor, and chronic bleeding was observed. Conclusions: Electrochemotherapy was effective in about half of the patients with advanced tumors, with few side-effects. Response to treatment seems to depend on the tumor entity.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Kreuter, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Eijk, TinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lehmann, PercyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fischer, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Horn, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Assaf, ChalidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schley, GastonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herbst, RudolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kellner, IvonneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weisbrich, ChristianeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hyun, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wieland, UlrikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schlaak, MaxUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ruebben, AlbertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lommel, KerstinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-408293
DOI: 10.1111/ddg.12583
Journal or Publication Title: J. Dtsch. Dermatol. Ges.
Volume: 13
Number: 4
Page Range: S. 308 - 317
Date: 2015
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1610-0387
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ANTITUMOR EFFECTIVENESS; BLEOMYCIN; THERAPYMultiple languages
DermatologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/40829

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