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Review
. 2023 Aug 2;24(15):12353.
doi: 10.3390/ijms241512353.

The Role of Hyperthermic Intraperitoneal Chemotherapy in Uterine Cancer Therapy

Iason Psilopatis  1 , Christos Damaskos  2   3   4 , Nikolaos Garmpis  2   3 , Kleio Vrettou  5 , Anna Garmpi  6 , Panagiotis Sarantis  7 , Evangelos Koustas  7 , Efstathios A Antoniou  2   3 , Gregory Kouraklis  8 , Athanasios Chionis  9 , Konstantinos Kontzoglou  2   3 , Dimitrios Dimitroulis  2   3
Affiliations
Review

The Role of Hyperthermic Intraperitoneal Chemotherapy in Uterine Cancer Therapy

Iason Psilopatis et al. Int J Mol Sci. .

Abstract

Endometrial cancer and uterine sarcoma represent the two major types of uterine cancer. In advanced stages, both cancer entities are challenging to treat and correlate with a meagre survival and prognosis. Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is a form of localized chemotherapy that is heated to improve the chemotherapeutic effect on peritoneal metastases. The aim of the current review is to study the role of HIPEC in the treatment of uterine cancer. A literature review was conducted using the MEDLINE and LIVIVO databases with a view to identifying relevant studies. By employing the search terms "hyperthermic intraperitoneal chemotherapy", "uterine cancer", "endometrial cancer", and/or "uterine sarcoma", we managed to identify 26 studies published between 2004 and 2023. The present work embodies the most up-to-date, comprehensive review of the literature centering on the particular role of HIPEC as treatment modality for peritoneally metastasized uterine cancer. Patients treated with cytoreductive surgery, alongside HIPEC, seem to profit from not only higher survival but also lower recurrence rates. Factors such as the completeness of cytoreductive surgery, the peritoneal cancer index, the histologic subtype, or the applied chemotherapeutic agent, all influence HIPEC therapy effectiveness. In summary, HIPEC seems to represent a promising treatment alternative for aggressive uterine cancer.

Keywords: cancer; chemotherapy; endometrial; hyperthermic; intraperitoneal; sarcoma; uterine.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Mechanism of action of HIPEC in peritoneal carcinomatosis.
Figure 2
Figure 2
PRISMA flow diagram visually summarizing the screening process.
See this image and copyright information in PMC

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