RT Journal A1 CREECH O, Jr., KREMENTZ ET, RYAN RF, REEMTSMA K, WINBLAD JN, ELLIOTT JL T1 THe treatment of cancer by perfusion JF A.M.A. Archives of Surgery JO A.M.A. Archives of Surgery YR 1959 FD December 1 VO 79 IS 6 SP 963 OP 975 DO 10.1001/archsurg.1959.04320120105012 UL http://dx.doi.org/10.1001/archsurg.1959.04320120105012 AB Technique  Technique  Figure 3Figure 4Figure 5Figure 6Technique  Figure 7Figure 8Figure 9Figure 10Metastatic Melanoma  Fig. 11.—Before perfusion.Fig. 12.—Two years after perfusion.Case 1.  —A 77-year-old white man. In 1956 malignant melanoma removed from left foot, followed by groin dissection May, 1957: Appearance of multiple dermal metastases. June, 1957: Isolated perfusion with 120 mg. phenylalanine mustard (PAM) through common femoral artery.Fig. 13.—Original lesion.Fig. 14.—Metastasis, six weeks after perfusion.Fig. 15.—Metastasis, eight weeks after perfusion.Melanoma  Figure 16Case 2.  —1947: Small mole (malignant melanoma) removed from right medical lower leg. 1958: Local recurrence followed by multiple excisions. Treated with TSPA intra-arterially without improvement (Fig. 16, A). December, 1958: Common femoral artery perfusion with 130 mg. PAM (1.8 mg. per kilogram of body weight). January, 1959: Many lesions disappeared (Fig. 16, B).Figure 17Case 3.  —1957: Malignant melanoma with extensive metastases