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A correction has been published: N Engl J Med 2005;352(24):2563.

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Volume 352:1820-1822 April 28, 2005 Number 17
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Therapy for Colorectal Cancer

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 by Meyerhardt, J. A.
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To the Editor: We believe Meyerhardt and Mayer's discussion of regional, targeted therapies for colorectal cancer (Feb. 3 issue)1 is incomplete. Regional infusion of interleukin-2 or interferon alfa through the hepatic artery, combined with chemotherapy, yields better results than chemotherapy alone in patients with metastatic colorectal disease.2,3,4 Moreover, modulation of fluorouracil-metabolizing enzymes by interleukin-2 appears to enhance the effectiveness of this chemotherapeutic agent. In addition, major surgery for liver metastases induces stimulation of angiogenesis and immunosuppression consisting of lymphocytopenia, reductions in the blood levels of antitumor interleukin-2 and interleukin-12, and increases in the level of immunosuppressive interleukin-6.5 On the other . . . [Full Text of this Article]




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