ONCOLOGY

Peritonectomy Techniques

Mar 14, 2018 by in ONCOLOGY Comments Off on Peritonectomy Techniques

Fig. 9.1 Skin resection in repeat laparotomy includes umbilicus. Incision drawing is aimed at cosmetic umbilical reconstruction 9.3.2 Examination of the Abdominal Cavity A complete abdominal lysis of adhesions is…

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Pathology of Peritoneal Surface Malignancies

Mar 14, 2018 by in ONCOLOGY Comments Off on Pathology of Peritoneal Surface Malignancies

Fig. 4.1 p53-positive staining of small aggregates of neoplastic cells in the fimbria (IHC-P, × 50) 4.2.1 Pathology What the pathologist receives after a CRS procedure is a complex puzzle…

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Diagnostic Imaging and Laparoscopy

Mar 14, 2018 by in ONCOLOGY Comments Off on Diagnostic Imaging and Laparoscopy

Fig. 6.1 Coronal contrast-enhanced computed tomography (CT) image showing (a) multiple nodules with a diameter > 5 mm diffusely involving the tunica serosa over bowel loops and paracolic gutters (arrows),…

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Peritoneal Carcinomatosis from Ovarian Cancer

Mar 14, 2018 by in ONCOLOGY Comments Off on Peritoneal Carcinomatosis from Ovarian Cancer

Setting Study [Reference] No. Residual disease Survival Primary cytoreduction    5-year (%) Median (months)  Hoskins (1994) [5] 41 R 0 60    62 ≤1 cm 35    77 >1 cm 20–35   Chi (2006)…

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Rationale for Integrated Procedures: Cytoreduction and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Combined

Mar 14, 2018 by in ONCOLOGY Comments Off on Rationale for Integrated Procedures: Cytoreduction and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Combined

Gompertzian growth kinetics Fig. 8.1 Fig. 8.2 Norton-Simon hypothesis: progressive improvements in drug response do not change actual cancer survival 8.2 Intraperitoneal Chemotherapy: Physical and Biological Principles The pharmacological rationale…

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Peritoneal Carcinomatosis from Colorectal Cancer

Mar 14, 2018 by in ONCOLOGY Comments Off on Peritoneal Carcinomatosis from Colorectal Cancer

• T stage of primary (T4) • Lymph-node status (N1-2) • Mucinous/signet-ring-cell histology • Right-sided tumors • Positive peritoneal cytology • Emergency/nonradical surgery • Perforated/ruptured primary • Ovarian metastases •…

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Peritoneal Mesothelioma

Mar 14, 2018 by in ONCOLOGY Comments Off on Peritoneal Mesothelioma

Types Subtypes Percentage Malignant Epithelial 75  Tubulopapillary nonglandular (solid) 13  Sarcomatous 6  Biphasic (mixed) 6  Undifferentiated Very rare  Desmoplastic Very rare  Lymphohistiocytic Very rare  Small cell Very rare  Deciduoid Very…

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Patient Selection for Treatment

Mar 14, 2018 by in ONCOLOGY Comments Off on Patient Selection for Treatment

Fig. 13.1 Peritoneal carcinomatosis from ovarian cancer: involvement of lesser omentum and hepatoduodenal ligament Fig. 13.2 Lesser omentectomy and stripping of the omental bursa floor Another challenging problem, especially in…

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Classification of Intraperitoneal Spread

Mar 14, 2018 by in ONCOLOGY Comments Off on Classification of Intraperitoneal Spread

, Francesca Guerini, Andrea Zanoni and Giovanni de Manzoni (1) Department of Surgery, Upper G.I. Surgery Unit, Borgo Trento Hospital, Verona, Italy   5.1 Introduction An accurate staging system for cancer diseases aims at…

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