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Ventriculo-lumbar perfusion chemotherapy for Leptomeningeal carcinomatosis

Not Applicable
Completed
Conditions
Neoplasms
Registration Number
KCT0000082
Lead Sponsor
ational Cancer Center
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
56
Inclusion Criteria

1) diagnosis of leptomeningeal carcinomatosis (LMC) by either CSF cytology or definite MR findings
2) at least one symptom of LMC; headache or increased intracranial pressure
(> 15cm H2o), hydrocephalus, cranial neuropathy or cauda equine symptoms
3) patient agree to the experimental protocol

Exclusion Criteria

1)CSF pathway block on wholspine MRI or RI cisternography,
2)Brain space occupying lesion, which could possibly cause herniation
3)Hemorrhagic brain metastasis
4)More than grade 3 leucopenia (ANC < 1,000) or thrombocytopenia (< 50K)
5)Altered mentality as severe as verbal communication is not possible
6)Active systemic cancer progression, at which expected survival is less than 2 months.

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cauda Equina symptoms;intracranial pressure ;altered mentality;Cranial neuropathy
Secondary Outcome Measures
NameTimeMethod
CSF MTX level;serum MTX level;CSF cytology;Carcinoembryonic antige (CEA)
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