Hyperthermic intraperitoneal chemotherapy (HIPEC) as another treatment modality for desmoplastic round cell tumour patients: first paediatric experience from UK.
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Embargo End Date
ICR Authors
Authors
Sjoberg Bexelius, T
Chisholm, JC
Okoye, B
Cecil, T
Angelini, P
Dayal, S
Chisholm, JC
Okoye, B
Cecil, T
Angelini, P
Dayal, S
Document Type
Journal Article
Date
2021-01-28
Date Accepted
2020-12-05
Abstract
We present the first young paediatric patient with desmoplastic small round cell tumour (DSRCT) treated in UK with hyperthermic intraperitoneal chemotherapy (HIPEC). A 7-year-old girl was diagnosed with abdominal DSRCT with peritoneal and liver metastases. After six cycles of chemotherapy she obtained a partial response, including almost complete resolution of the two liver metastases. It was decided to pursue cytoreductive surgery (CRS) combined with HIPEC, a procedure commonly performed in adults, but seldom in a child. The surgery was macroscopically complete and the HIPEC uncomplicated. She continued treatment without delays, including whole abdomino-pelvic radiotherapy and maintenance chemotherapy (cyclophosphamide/vinorelbine for 12 months). She is currently in complete remission 4 months after end of treatment and 26 months after diagnosis. HIPEC was made possible by successful collaboration between multiple teams. CRS-HIPEC proved to be safe and feasible and could be offered to other children with diagnoses of peritoneal malignancies across the UK.
Citation
BMJ Case Reports, 2021, 14 (1), pp. e234876 -
Source Title
BMJ Case Reports
Publisher
BMJ PUBLISHING GROUP
ISSN
1757-790X
eISSN
1757-790X
1757-790X
1757-790X