粘液性虫垂腫瘍および腹膜偽粘液腫のINDEPSO-ISPSMコンセンサス
Vivekanand Sharma1, Somashekhar Sp2, Rohit Kumar2
1Dept of Colorectal Surgery, East Suffolk and North Essex NHS Foundation, Ipswich, UK.
Indian journal of surgical oncology
|December 19, 2025
まとめ
このコンセンサスは、まれな粘液性虫垂腫瘍（MAN）および腹膜偽粘液腫（PMP）の管理に関する推奨事項を提供する。特定の進行MANおよびPMP症例には、細胞減少術と温熱腹腔内化学療法（CRS-HIPEC）を推奨する。
背景:
- 粘液性虫垂腫瘍（MAN）および腹膜偽粘液腫（PMP）は、特異的かつまれな治療上の課題を提示する。既存の国際ガイドラインでは、これらの病状のすべての臨床シナリオに完全に対応していない可能性がある。
結論:
- 専門家のコンセンサスは、特定の進行MANおよびPMPに対するCRS-HIPECを支持しており、国際ガイドラインに沿いつつも、それを洗練させている。このコンセンサスは、妊よう性温存手術や腹膜外疾患に対するCRSなどの議論のある介入に関するガイダンスを提供する。虫垂切除後のシナリオにおける予防的CRSおよびHIPECに対するより厳格なアプローチが推奨された。
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