As there isn’t a cure for cancer, and as mesothelioma is
a particularly aggressive form of the disease, patients and their physicians
regularly try a variety of approaches to treat the symptoms and slow the spread
of the cancer. One of the latest approaches to treating cancer – a “chemo bath”
– has proven successful in the United Kingdom.
Previously tried in the United States, a chemo bath is a
procedure during which a physician saturates the affected body region with
heated chemotherapy. The process in the UK involved liver cancer patients; in
the United States, oncologists have used the approach to treat peritoneal
mesothelioma and other cancers.
In medical terms, a chemo bath is called Chemosaturation
with Percutaneous Hepatic Perfusion (CS-PHP).
The UK researchers used CS-PHP to treat patients with advanced cancer of
the liver.
Physicians at the University of Pittsburgh, which are
known for their treatment of mesothelioma patients, often use a similar
approach – hyperthermic intraperitoneal chemoperfusion (HIPEC) – to treat
mesothelioma. As with CS-PHP, that approach involves concentrating chemotherapy
doses on the affected area while avoiding the rest of the body.
HIPEC involves bathing the patient’s abdomen with heated
high-dose chemotherapy drugs with the aim of reaching the several tumors that
lie in the abdominal cavity. Such an approach, according to University of
Pittsburgh researchers, helps mesothelioma patients live up to three or four
years longer than they would have otherwise.
CS-PHP, however, helped patients live five times longer
than those undergoing the best alternative; such an accomplishment could make
it more effective than the HIPEC approach. CS-PHP isolates treatment to the
affected area, then filters the chemotherapy away from the rest of the
patient’s body.
“To cut off an organ from the body for 60 minutes, soak
it in a high dose of drug and then filter the blood almost completely clean
before returning is truly groundbreaking,” said Brian Stedman, who performed
the CS-PHP procedure in the UK. Stedman added that this treatment could also be
useful in treating other malignancies, such as breast and colon cancer.
A Revolutionary Approach to Cancer Care
CS-PHP treats liver cancer by infusing chemotherapy into
the bloodstream, sending it through the liver, then filtering it out of the
patient’s bloodstream. Such an approach allows higher doses of chemo to be
applied more directly to the affected area.
Such an approach also overcomes one of chemotherapy’s
traditional limitations. Current chemotherapy applications are limited because
they attack the entire body indiscriminately; that means they attack healthy
cells as well as malignant ones.
Oncologists and mesothelioma patients regularly try
experimental approaches to treatment because traditional treatments tend to do
little to stymie the growth and spread of mesothelioma. Though not tested on
mesothelioma patients as of yet, CS-PHP could one day be a complimentary
treatment for mesothelioma. Physicians often use gene therapy and immunotherapy
in concert with chemotherapy and other palliative care options in treating
mesothelioma.
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