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Principles of Systemic Therapy

Systemic therapy is one of the combined modality programs in the treatment of cancer

Chemotherapy

Endocrine therapy

Biotherapy

Molecular-targeted therapy

Cancer Chemotherapy

Development of chemotherapy is started in the 1950s

Chemotherapy could indeed cure cancer

Rationale for integrating chemotherapy into combined modality programs with surgery and RT in early stage of disease

Cancer Chemotherapy

Principal obstacles to clinical efficacy of chemotherapy:

àToxicity to normal tissues

àDevelopment of cellular drug resistance

Clinical Application of Chemotherapy

Primary induction chemotherapy

Neoadjuvant chemotherapy

Adjuvant chemotherapy

Direct instillation into sanctuary sites or sitedirected perfusion of specific regions of the body affected by cancer

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