World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access |
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc |
Journal website http://www.wjon.org |
Review
Volume 4, Number 3, June 2013, pages 129-136
Principles and Innovations in Peritoneal Surface Malignancy Treatment
Tables
Anatomic origin |
Intra-abdominal: gastric, colorectal, pancreatic, hepatocellular, appendiceal |
Gynecologic: ovarian, endometrial, uterine |
Peritoneum |
Renal, bladder |
Primary Tumor Histology-Those malignancies capable of spreading to involve the peritoneum are diverse and include |
Primary peritoneal carcinomas |
Malignant peritoneal mesothelioma |
Metastases from a non-peritoneal primary: adenocarcinomas, sarcomas, neuroendocrine tumors, desmoplastic tumors, lymphomas |
Pseudomyxoma Peritonei |
55% of such high risk patients meeting one of the below criteria will develop PC. |
Criteria for patients found to be at greater risk of colorectal PC development [80] |
Symptoms/signs of disease recurrence |
Increased risk for regional malignancy recurrence |
Rising CEA blood level |
Prospective study’s defined criteria for patients with high risk of colorectal PC development [55] |
Ovarian metastases |
Emergent signs of obstruction or bleeding |
Tumor perforation |
Limited/resected disease on initial surgery |
T4 lesions with adjacent organ resection en bloc |