Which patient is going to benefit from surgical cytoreduction with intraperitoneal chemotherapy (for manifest peritoneal metastases)?

The gastric cancer with peritoneal metastases still represents a serious problem in the oncological surgery, whereas the peritoneal metastases arising from colorectal cancer can be successfully treated using a multimodal therapy concept consisting of systemic chemotherapy, cytoreductive surgery and...

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Main Authors: Blaj Sebastian, Piso Pompiliu
Format: Article
Language:English
Published: Sciendo 2017-12-01
Series:Current Issues in Pharmacy and Medical Sciences
Subjects:
Online Access:https://doi.org/10.1515/cipms-2017-0040
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author Blaj Sebastian
Piso Pompiliu
author_facet Blaj Sebastian
Piso Pompiliu
author_sort Blaj Sebastian
collection DOAJ
description The gastric cancer with peritoneal metastases still represents a serious problem in the oncological surgery, whereas the peritoneal metastases arising from colorectal cancer can be successfully treated using a multimodal therapy concept consisting of systemic chemotherapy, cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. The best survival rates in patients suffering from peritoneal metastases of gastric cancer have been reported by the ToGa trial, in patients with HER-2 positive expression who received standard chemotherapy and trastuzumab. Cytoreductive surgery and HIPEC are increasingly wining a place in the multimodal therapy of gastric cancer with peritoneal metastases, the criteria for such an aggressive therapy are strict and the operability needs to be previously assessed by laparoscopic exploration. Interesting new data are awaited from the German GASTRIPEC study and from the French GASTRICHIP study.
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spelling doaj.art-5b49276535bd497ebddfa16e181a3ba52022-12-21T22:37:48ZengSciendoCurrent Issues in Pharmacy and Medical Sciences2084-980X2300-66762017-12-0130420721010.1515/cipms-2017-0040cipms-2017-0040Which patient is going to benefit from surgical cytoreduction with intraperitoneal chemotherapy (for manifest peritoneal metastases)?Blaj Sebastian0Piso Pompiliu1Klinik für Allgemein- und Viszeralchirurgie, Krankenhaus Barmherzige Brüder Regensburg, Prüfeninger 86, 93049Regensburg, GermanyKlinik für Allgemein- und Viszeralchirurgie, Krankenhaus Barmherzige Brüder Regensburg, Prüfeninger 86, 93049Regensburg, GermanyThe gastric cancer with peritoneal metastases still represents a serious problem in the oncological surgery, whereas the peritoneal metastases arising from colorectal cancer can be successfully treated using a multimodal therapy concept consisting of systemic chemotherapy, cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. The best survival rates in patients suffering from peritoneal metastases of gastric cancer have been reported by the ToGa trial, in patients with HER-2 positive expression who received standard chemotherapy and trastuzumab. Cytoreductive surgery and HIPEC are increasingly wining a place in the multimodal therapy of gastric cancer with peritoneal metastases, the criteria for such an aggressive therapy are strict and the operability needs to be previously assessed by laparoscopic exploration. Interesting new data are awaited from the German GASTRIPEC study and from the French GASTRICHIP study.https://doi.org/10.1515/cipms-2017-0040peritoneal neoplasmshyperthermiainducedstomach neoplasmscytoreduction surgical proceduresinduction chemotherapylaparoscopy
spellingShingle Blaj Sebastian
Piso Pompiliu
Which patient is going to benefit from surgical cytoreduction with intraperitoneal chemotherapy (for manifest peritoneal metastases)?
Current Issues in Pharmacy and Medical Sciences
peritoneal neoplasms
hyperthermia
induced
stomach neoplasms
cytoreduction surgical procedures
induction chemotherapy
laparoscopy
title Which patient is going to benefit from surgical cytoreduction with intraperitoneal chemotherapy (for manifest peritoneal metastases)?
title_full Which patient is going to benefit from surgical cytoreduction with intraperitoneal chemotherapy (for manifest peritoneal metastases)?
title_fullStr Which patient is going to benefit from surgical cytoreduction with intraperitoneal chemotherapy (for manifest peritoneal metastases)?
title_full_unstemmed Which patient is going to benefit from surgical cytoreduction with intraperitoneal chemotherapy (for manifest peritoneal metastases)?
title_short Which patient is going to benefit from surgical cytoreduction with intraperitoneal chemotherapy (for manifest peritoneal metastases)?
title_sort which patient is going to benefit from surgical cytoreduction with intraperitoneal chemotherapy for manifest peritoneal metastases
topic peritoneal neoplasms
hyperthermia
induced
stomach neoplasms
cytoreduction surgical procedures
induction chemotherapy
laparoscopy
url https://doi.org/10.1515/cipms-2017-0040
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