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Metastasis is the spread of cancer cells from the original site to distant locations in the body. Cancer cells can spread via blood vessels (hematogenous) as well as lymph vessels in the body.
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The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
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Peritoneal carcinomatosis.

Federico Coccolini1, Federico Gheza, Marco Lotti

  • 1Federico Coccolini, Marco Lotti, Luca Ansaloni, Department of General Surgery, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.

World Journal of Gastroenterology
|November 14, 2013
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Summary
This summary is machine-generated.

Peritoneal carcinomatosis (PC) is a loco-regional disease. Multimodal treatments combining cytoreductive surgery and chemotherapy show promise for improving survival in patients with gastrointestinal cancer.

Keywords:
AdvancedCancerCarcinosisColorectalCytoreductive surgeryGastricHipecIntraperitoneal chemotherapyOvarianPeritoneal

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Peritoneal carcinomatosis (PC) is a common complication of gastrointestinal and gynecological cancers.
  • PC significantly reduces survival rates in patients with advanced cancer.
  • Recent understanding highlights PC as a loco-regional disease, amenable to targeted treatment.

Purpose of the Study:

  • To review the evidence on treating peritoneal carcinomatosis across various tumor types.
  • To emphasize the importance of a multidisciplinary approach for optimal loco-regional control.
  • To guide clinicians in providing effective treatment strategies for PC.

Main Methods:

  • Systematic review of literature on multimodal treatment for PC.
  • Analysis of studies combining cytoreductive surgery, intraperitoneal hyperthermic chemotherapy, and systemic chemotherapy.
  • Evaluation of treatment outcomes focusing on loco-regional control and survival.

Main Results:

  • Multimodal therapy, including cytoreductive surgery and hyperthermic chemotherapy, offers promising outcomes for PC.
  • Aggressive surgical and chemotherapeutic approaches can improve loco-regional disease control.
  • Optimal treatment selection is crucial for enhancing patient survival.

Conclusions:

  • Peritoneal carcinomatosis can be effectively managed as a loco-regional disease.
  • Multimodal treatment strategies are essential for improving outcomes in PC patients.
  • Further research and multidisciplinary collaboration are key to advancing PC treatment.