Electrochemotherapy efficacy evaluation for treatment of locally advanced stage III cutaneous squamous cell carcinoma: a 22-cases retrospective analysis

Abstract Background Extensive squamous cell carcinoma has few therapeutic options. In such cases, electrochemotherapy involving electroporation combined with antineoplastic drug appears to be a new potential option and may be considered as an alternative treatment. The aim of this retrospective sing...

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Main Authors: Gianluca Di Monta, Corrado Caracò, Ester Simeone, Antonio Maria Grimaldi, Ugo Marone, Massimiliano Di Marzo, Vito Vanella, Lucia Festino, Marco Palla, Stefano Mori, Nicola Mozzillo, Paolo Antonio Ascierto
Format: Article
Language:English
Published: BioMed Central 2017-04-01
Series:Journal of Translational Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12967-017-1186-8
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spelling doaj-art-9ff8a8c7d1064e2aa2939a43dde420f52018-08-15T22:58:59ZengBioMed CentralJournal of Translational Medicine1479-58762017-04-011511810.1186/s12967-017-1186-8Electrochemotherapy efficacy evaluation for treatment of locally advanced stage III cutaneous squamous cell carcinoma: a 22-cases retrospective analysisGianluca Di Monta0Corrado Caracò1Ester Simeone2Antonio Maria Grimaldi3Ugo Marone4Massimiliano Di Marzo5Vito Vanella6Lucia Festino7Marco Palla8Stefano Mori9Nicola Mozzillo10Paolo Antonio Ascierto11Department of Surgery “Melanoma-Soft Tissues-Head & Neck-Skin Cancers”, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Department of Surgery “Melanoma-Soft Tissues-Head & Neck-Skin Cancers”, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Unit of Medical Oncology and Innovative Therapy, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Unit of Medical Oncology and Innovative Therapy, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Department of Surgery “Melanoma-Soft Tissues-Head & Neck-Skin Cancers”, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Department of Surgery “Melanoma-Soft Tissues-Head & Neck-Skin Cancers”, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Unit of Medical Oncology and Innovative Therapy, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Unit of Medical Oncology and Innovative Therapy, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Unit of Medical Oncology and Innovative Therapy, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Department of Surgery “Melanoma-Soft Tissues-Head & Neck-Skin Cancers”, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Department of Surgery “Melanoma-Soft Tissues-Head & Neck-Skin Cancers”, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Unit of Medical Oncology and Innovative Therapy, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione G. Pascale”Abstract Background Extensive squamous cell carcinoma has few therapeutic options. In such cases, electrochemotherapy involving electroporation combined with antineoplastic drug appears to be a new potential option and may be considered as an alternative treatment. The aim of this retrospective single-center study was to evaluate electrochemotherapy efficacy in treatment of locally advanced stage III squamous cell carcinoma, in which surgical procedures would have entailed wide tissue sacrifice. Methods Clinical features, treatment response, and adverse effects were evaluated in 22 patients treated with electrochemotherapy with intravenous injection of bleomycin for extensive stage III cutaneous squamous cell carcinoma. Treatment of cutaneous lesions were performed according to the European Standard Operating Procedures of Electrochemotherapy. Results Overall response to electrochemotherapy treatment was observed in 18 (81.8%) patients. Clinical response with necrosis of tumor mass was observed from the first session and lasted for all follow up period that ranged between 5 and 48 months with a median of 34 months. Overall the treatment was well tolerated with a very low complication rate. Conclusions Electrochemotherapy represents a safe and effective therapeutic approach, associated with a good tolerability.http://link.springer.com/article/10.1186/s12967-017-1186-8ElectrochemotherapyElectroporationSquamous cell carcinoma
institution Open Data Bank
collection Open Access Journals
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language English
format Article
author Gianluca Di Monta
Corrado Caracò
Ester Simeone
Antonio Maria Grimaldi
Ugo Marone
Massimiliano Di Marzo
Vito Vanella
Lucia Festino
Marco Palla
Stefano Mori
Nicola Mozzillo
Paolo Antonio Ascierto
spellingShingle Gianluca Di Monta
Corrado Caracò
Ester Simeone
Antonio Maria Grimaldi
Ugo Marone
Massimiliano Di Marzo
Vito Vanella
Lucia Festino
Marco Palla
Stefano Mori
Nicola Mozzillo
Paolo Antonio Ascierto
Electrochemotherapy efficacy evaluation for treatment of locally advanced stage III cutaneous squamous cell carcinoma: a 22-cases retrospective analysis
Journal of Translational Medicine
Electrochemotherapy
Electroporation
Squamous cell carcinoma
author_facet Gianluca Di Monta
Corrado Caracò
Ester Simeone
Antonio Maria Grimaldi
Ugo Marone
Massimiliano Di Marzo
Vito Vanella
Lucia Festino
Marco Palla
Stefano Mori
Nicola Mozzillo
Paolo Antonio Ascierto
author_sort Gianluca Di Monta
title Electrochemotherapy efficacy evaluation for treatment of locally advanced stage III cutaneous squamous cell carcinoma: a 22-cases retrospective analysis
title_short Electrochemotherapy efficacy evaluation for treatment of locally advanced stage III cutaneous squamous cell carcinoma: a 22-cases retrospective analysis
title_full Electrochemotherapy efficacy evaluation for treatment of locally advanced stage III cutaneous squamous cell carcinoma: a 22-cases retrospective analysis
title_fullStr Electrochemotherapy efficacy evaluation for treatment of locally advanced stage III cutaneous squamous cell carcinoma: a 22-cases retrospective analysis
title_full_unstemmed Electrochemotherapy efficacy evaluation for treatment of locally advanced stage III cutaneous squamous cell carcinoma: a 22-cases retrospective analysis
title_sort electrochemotherapy efficacy evaluation for treatment of locally advanced stage iii cutaneous squamous cell carcinoma: a 22-cases retrospective analysis
publisher BioMed Central
series Journal of Translational Medicine
issn 1479-5876
publishDate 2017-04-01
description Abstract Background Extensive squamous cell carcinoma has few therapeutic options. In such cases, electrochemotherapy involving electroporation combined with antineoplastic drug appears to be a new potential option and may be considered as an alternative treatment. The aim of this retrospective single-center study was to evaluate electrochemotherapy efficacy in treatment of locally advanced stage III squamous cell carcinoma, in which surgical procedures would have entailed wide tissue sacrifice. Methods Clinical features, treatment response, and adverse effects were evaluated in 22 patients treated with electrochemotherapy with intravenous injection of bleomycin for extensive stage III cutaneous squamous cell carcinoma. Treatment of cutaneous lesions were performed according to the European Standard Operating Procedures of Electrochemotherapy. Results Overall response to electrochemotherapy treatment was observed in 18 (81.8%) patients. Clinical response with necrosis of tumor mass was observed from the first session and lasted for all follow up period that ranged between 5 and 48 months with a median of 34 months. Overall the treatment was well tolerated with a very low complication rate. Conclusions Electrochemotherapy represents a safe and effective therapeutic approach, associated with a good tolerability.
topic Electrochemotherapy
Electroporation
Squamous cell carcinoma
url http://link.springer.com/article/10.1186/s12967-017-1186-8
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