Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Techniques

Mar 14, 2018 by in ONCOLOGY Comments Off on Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Techniques

Fig. 10.1 Hyperthermic intraperitoneal chemotherapy (HIPEC): peritoneal cavity expander. (Courtesy of Prof. Angelo Di Giorgio) A roller pump forces chemotherapy perfusion into the abdomen through the Tenckhoff catheter and extracts…

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Pseudomyxoma Peritonei

Mar 14, 2018 by in ONCOLOGY Comments Off on Pseudomyxoma Peritonei

Fig. 16.1 Perforated appendiceal tumor [low-grade appendiceal mucinous neoplasms (LAMN II)] 16.3 Clinical Features PMP usually manifests with the characteristic jelly belly (Fig. 16.2) appearance, represented by the advanced stage…

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Other Primary Peritoneal Surface Malignancies

Mar 14, 2018 by in ONCOLOGY Comments Off on Other Primary Peritoneal Surface Malignancies

Fig. 21.1 Proposed models for the development of types 1 and 2 tumors of the ovary. SCOUT, secretory cell outgrowths; P53, tumor protein 53; STIC, serous tubal intraepithelial carcinoma; PPSPC,…

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New Trials

Mar 14, 2018 by in ONCOLOGY Comments Off on New Trials

Study Type of study Phase Time Drug Id number* Country Feasibility Study of HIPEC for Patients With Stage III or Only Pleural Stage IV Ovarian Carcinoma in First-Line Therapy Safety/efficacy…

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Main Topics of Discussion and New Trends

Mar 14, 2018 by in ONCOLOGY Comments Off on Main Topics of Discussion and New Trends

Fig. Peritoneal Cancer Index (PCI) classification: Three-dimensional imaging simulation for PCI mapping and scoring. An imaging database can furnish all useful images to place the lesions; dedicated software calculates overall…

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The Role of Surgery

Mar 14, 2018 by in ONCOLOGY Comments Off on The Role of Surgery

Fig. 11.1 Peritoneal Cancer Index (PCI) scoring system 11.4 Defining Completeness of Cytoreduction: CC score Completeness of cytoreduction is the most important prognostic factor after CRS. Residual disease after CRS…

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Palliative Treatments

Mar 14, 2018 by in ONCOLOGY Comments Off on Palliative Treatments

Study [Reference] No. (PSM origin) Drugs Operative time (min) HIPEC duration (min) Hospital stay (days) Mortality Morbidity Ascites resolution Median survival (months) Chang et al. 2001 [33] 2 (1 MPM,…

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Epidemiology: Extent of the Problem

Mar 14, 2018 by in ONCOLOGY Comments Off on Epidemiology: Extent of the Problem

Year 2012 Description Age  0–44 45–54 55–64 65–74 75+ Total Malignant neoplasm of peritoneum or retroperitoneum (primary) 133 264 518 665 732 2,312 Malignant neoplasm of peritoneum or retroperitoneum (secondary)…

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Organizational Problems, Costs, and Data Collection

Mar 14, 2018 by in ONCOLOGY Comments Off on Organizational Problems, Costs, and Data Collection

Procedural safety recommendations Surgical field Use of disposable drapes (not textile cloth) Operating room Closed door, access restriction, prevent of possible spills Caregivers Disposable impervious gown and shoe covers; double…

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