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Peritoneal Mesothelioma Asbestos Symptoms<br><br>Peritoneal mesothelioma asbestos symptoms typically affect the digestive system. This is because asbestos fibers get inhaled and then become a part of the stomach's lining, called the peritoneum.<br><br>As time passes, these fibers result in mutations to the healthy peritoneal cell. In the end tumors that are cancerous develop in the peritoneum.<br><br>The diagnosis of mesothelioma can be difficult. Early signs may be confused with symptoms of other conditions like hernias or irritable Bowel syndrome.<br><br>Signs and symptoms<br><br>When asbestos fibers are inhaled, they can pass into the lungs and then travel throughout the body. The fibers then become trapped in the linings of the abdomen and other organs. This can cause irritation and inflammation, which leads to tumor development. The process can take years to develop, and many victims are unaware of their asbestos exposure until it is too late.<br><br>Malignant peritoneal mesothelioma occurs when asbestos fibers are trapped in the tissue that lines the abdominal cavity as well as other organs. It is the second-most common form of mesothelioma. However it can be difficult for doctors to diagnose as early symptoms are nonspecific. It is also possible that they are similar to digestive disorders. Patients with peritoneal cancer often suffer from stomach pain, fatigue and gastrointestinal problems.<br><br>After a physical examination followed by an examination of medical history, and a series of laboratory tests, mesothelioma patients are diagnosed with peritoneal cancer. A CT scan or X-ray can help doctors detect lumps, or other indications of illness. In certain instances doctors who treat mesothelioma may also request a biopsy to get a more accurate diagnosis.<br><br>Peritoneal Mesothelioma Symptoms usually begin in the abdomen and can cause extreme abdominal discomfort, bloating and weight loss. They can also trigger nausea and vomiting as well as other digestive issues. Other symptoms include fatigue, chest pain and swelling. If these symptoms are present, it is important that victims seek medical attention since they could be triggered by other ailments.<br><br>Despite the difficulties in diagnosing patients with peritoneal msothelioma, they can typically receive the appropriate treatment to prolong their lives. In most cases, the treatment involves surgery and chemo treatment that is heated.<br><br>If you or someone you love have been diagnosed with peritoneal mesothelioma, call our [https://www.shufaii.com/space-uid-461900.html mesothelioma lawyers] to learn how we can assist. We can connect you to [https://dahan.com.tw/home.php?mod=space&uid=425872 mesothelioma lawyer] specialists near you and assist you in filing a lawsuit against the asbestos-related companies responsible for your exposure. We can also help you receive the financial compensation you are entitled to. Start the process by filling out our free online form. We can assist you in obtaining the best possible outcome working with the best [https://atavi.com/share/wun5q1z1psio8 mesothelioma lawyers].<br><br>Diagnosis<br><br>To diagnose peritoneal Msothelioma it is important to have an extensive medical history. Doctors will inquire about the patient's exposure to asbestos and when it occurred. They also conduct a physical examination. Initial examinations typically include blood tests and Xrays, as well as CT scans.<br><br>Due to the long time of latency, peritoneal cancer can be difficult to recognize. Patients may experience symptoms like abdominal nausea, fever and pain that resemble other conditions. These symptoms that are not specific could confuse doctors. Mesothelioma is a rare cancer and it can take a long time for symptoms to appear after exposure to asbestos.<br><br>Asbestos fibers inhaled or consumed move to the stomach lining called the peritoneum. Asbestos fibers that are sharp irritate mesothelium when they reach the peritoneum. Over time this irritation can cause inflammation and scar tissue. Then, it leads to abnormal cell growth and tumors forming.<br><br>Researchers are working on ways to detect the disease in its earliest stages. The stage of mesothelioma determines the treatment options.<br><br>A mesothelioma specialist may perform paracentesis (percutaneous needle biopsy) to take the specimen for tests in the laboratory. These tests can reveal the type of cancer cells (epithelioid biphasic, sarcomatoid, or epithelioid) within the tumor and help doctors come up with a treatment plan.<br><br>Mesothelioma specialists also evaluate a patient's stage of mesothelioma. The stage determines the most effective treatments and helps [https://www.metooo.co.uk/u/66e96360f2059b59ef391ee5 mesothelioma lawyers] know which asbestos companies are liable in [https://m.jingdexian.com/home.php?mod=space&uid=3598175 mesothelioma lawsuits].<br><br>A mesothelioma specialist examines the results of a biopsy they produce an a pathology report which contains specifics about the kind of mesothelioma. The report could also include a staging scale that indicates how the cancer has spread across the body. The more advanced the stage of cancer the less likely a patient will be able to respond to treatment. Lawyers can explain the implications of this for the particular case of a client.<br><br>Treatment<br><br>When inhaled or swallowed asbestos fibers are embedded in the tissue that lines the abdomen and other organs. These fibers damage DNA and cause irritation to cells. This causes the formation of tumors. The majority of the time, peritoneal mesothelioma is found in the lining of the abdomen called the peritoneum. Peritoneal mesothelioma is rarer than pleural mesothelioma and usually affects women more.<br><br>The symptoms of peritoneal cancer are similar to those seen with gastrointestinal disorders such as Crohn's and irritable bowel disease, making it hard for doctors to recognize. Early symptoms can be mistaken for other ailments, and may persist for a long time, or even years before mesothelioma is identified.<br><br>A doctor will also conduct imaging and blood tests to rule out any other conditions or diseases that could cause the same symptoms as mesothelioma. These tests can be used to determine the most effective treatment options.<br><br>Since peritoneal [http://3.13.251.167/home.php?mod=space&uid=1266579 mesothelioma lawsuits] can develop in the abdominal lining The doctor will conduct biopsy to confirm a diagnosis. A biopsy involves the removal of small amounts of tissue from the affected area to be examined by pathologists. Biopsies may reveal cancerous cells and determine the type of mesothelioma.<br><br>When a peritoneal Msothelioma diagnosis is confirmed doctors will discuss treatment options with patients. The aim of any treatment plan is generally to decrease the size and quantity of tumors. Surgery is usually the first option, however patients can also consider chemotherapy and immunotherapy.<br><br>In contrast to the chest-based treatment for pleural Mesothelioma that is administered via the lungs, peritoneal Mesothelioma treatment is administered via intravenously or orally. The injections of chemotherapy like heated intraperitoneal therapy (HIPEC), helped extend the survival of many patients. HIPEC is a technique that was developed by mesothelioma pioneer Paul Sugarbaker.<br><br>Individuals suffering from peritoneal cancer may be eligible to bring a lawsuit against negligent asbestos companies. A mesothelioma attorney can review the case of a patient and suggest legal options. Contact us today to begin. Contact us now. It's free, confidential, and there's no obligation. We provide nationwide representation.<br><br>Prognosis<br><br>Mesothelioma is a rare type of cancer. Doctors have limited experience with it, so many patients are misdiagnosed as having other illnesses. Fortunately mesothelioma specialists can aid in the diagnosis process and provide patients with the appropriate treatment.<br><br>The only cause that is known for mesothelioma peritoneal is exposure to asbestos. Asbestos fibers can cause irritation to the abdominal tissues and cell changes when inhaled or consumed. Over time, this can result in tumors that develop into a mesothelioma of the peritoneum.<br><br>The exposure to asbestos typically begins with work in construction or manufacturing. These industries could use asbestos-containing materials like fireproofing and insulation. Asbestos may also be found in household products, such as roofing tiles and flooring. Even low levels of exposure can put a person at risk for mesothelioma. Due to the long time of latency the victims could be diagnosed with peritoneal mesothelioma several decades after their initial exposure.<br><br>Peritoneal Mesothelioma may mimic other conditions. It is often mistaken for hernias, digestive issues such as colitis or Crohn's and other types of abdominal cancer. Because of this, many patients do not disclose their exposure to asbestos and they don't seek medical treatment. Doctors may suggest a biopsy to confirm the diagnosis of mesothelioma. A biopsy involves the removal of a small portion of the affected tissue for testing. This procedure will reveal the stage of mesothelioma and if it is epithelioid, sarcomatoid or biphasic.<br><br>If mesothelioma does not have spread it is possible to remove the tumors. They will also offer an option for curative treatment. The specialist can also determine if the cancer has expanded to the abdomen. They may then recommend palliative treatments for the patient, for example paracentesis that drains fluid from the abdomen.<br><br>When a mesothelioma is advanced the chances of survival are less. This is because the tumors are able to become resistant to certain treatments and can be recurred. The specialist may recommend the combination of chemotherapy and surgery. The surgical options include cytoreduction surgery with hyperthermic intraperitoneal chemotherapy. This combination is more likely than chemotherapy by itself to improve the outlook of a patient.
Peritoneal Mesothelioma Asbestos Symptoms<br><br>Peritoneal mesothelioma asbestos symptoms often affect the digestive system. This is due to asbestos fibers being ingested and become embedded in the stomach's lining known as the peritoneum.<br><br>In time, these fibers cause changes to healthy peritoneal cell. Tumors that are cancerous develop in the peritoneum as a result.<br><br>The diagnosis of mesothelioma can be a bit difficult. The early signs can be similar to symptoms of other diseases, like hernia or IBS.<br><br>Signs and symptoms<br><br>When asbestos fibers are inhaled they can be absorbed into the lungs and circulate throughout the body. They can then get trapped in the lining of the abdomen or other organs, creating inflammation and irritation that eventually leads to the growth of tumors. The process can take years to develop, and most sufferers are unaware that they are exposed to asbestos until it is too late.<br><br>Asbestos fibers can get trapped in the tissue that lines the abdominal cavity or other organs, which can cause malignant peritoneal melanomas. It is the second most common form of mesothelioma. However, it can be difficult for doctors to identify as early symptoms are nonspecific. They may also be similar to digestive disorders. Patients with peritoneal mesothelioma often have stomach pain, fatigue, and digestive problems.<br><br>Mesothelioma sufferers are usually diagnosed with peritoneal mesothelioma after conducting a physical examination, a medical history review and an array of laboratory tests. An X-ray or CT scan can help doctors detect any lumps or indications of illness. In certain cases, mesothelioma doctors will also order a biopsy to obtain a more precise diagnosis.<br><br>Peritoneal Mesothelioma symptoms typically begin in the abdomen and may cause extreme abdominal discomfort, bloating and weight loss. They can also trigger nausea and vomiting as well as other digestive issues. Other symptoms include fatigue, chest pain and swelling. If these symptoms are present it is crucial that victims seek medical attention since they could be caused by other conditions.<br><br>Despite the difficulty of diagnosing peritoneal cancer, patients are often able to receive the right treatment to prolong their lives. In most cases, treatment is surgery and chemo that is heated.<br><br>Contact our [https://www.deepzone.net/home.php?mod=space&uid=4415533 mesothelioma lawyers] to learn more about how we can help you if someone in your family has been diagnosed with peritoneal mesothelioma. We can assist you in finding an expert in mesothelioma near you who can assist you in filing a lawsuit against asbestos companies responsible for your exposure. We can also assist you in ensuring that you get the financial compensation you deserve. Fill out our online form to start the process. We have a strong relationship with mesothelioma lawyers to assist you in obtaining the best possible outcome.<br><br>Diagnosis<br><br>The first step in identifying mesothelioma peritoneal is to obtain an complete medical history. Doctors will inquire about the person's exposure asbestos and the time it occurred. A physical examination will be performed. Initial tests typically include blood tests and Xrays, as well as CT scans.<br><br>Because of the long period of latency, peritoneal mesothelioma is often difficult to identify. Patients may experience symptoms such as abdominal nausea, fever and pain that are similar to other conditions. These symptoms that are not specific can cause confusion for doctors. Mesothelioma is a rare type of cancer and it can take decades for symptoms to appear after asbestos exposure.<br><br>Asbestos fibers inhaled, or consumed travel into the stomach lining known as the peritoneum. Once in the peritoneum, the asbestos fibers are sharp and irritate the mesothelium. In time this irritation can cause inflammation and scar tissue. Then, it leads to abnormal cell growth and tumors forming.<br><br>Researchers are working on methods to detect the disease early. Staging mesothelioma is important as it determines the treatment options.<br><br>A mesothelioma expert can perform paracentesis (percutaneous needle biopsy) to collect the specimen for lab testing. These tests can identify the kind of cancer cells (epithelioid biphasic, sarcomatoid, or epithelioid) within the tumor and aid doctors determine the best treatment strategy.<br><br>Specialists in mesothelioma can also determine the stage of a patient. It determines which treatment options will be the most effective and help mesothelioma attorneys know which asbestos companies to pursue in mesothelioma lawsuits.<br><br>If a mesothelioma specialist analyzes the results from the biopsy and creates a pathology report which contains details about the mesothelioma type. The report could also include an assessment scale that reveals how far the cancer has spread across the body. The more advanced the stage, the less likely it is to respond to treatment. A lawyer can explain the significance of this in a client's situation.<br><br>Treatment<br><br>Asbestos fibers can be breathed in or consumed and are absorbed in the tissue that lines the abdomen and other organs. They damage DNA and cause irritation to cells. In time, this can lead to the formation of tumors within the lining. Typically, peritoneal mesothelioma develops in the abdomen's lining known as the peritoneum. Peritoneal mesothelioma is rarer than pleural mesothelioma, and typically affects women more.<br><br>The symptoms of peritoneal cancer are similar to those that are associated with gastrointestinal disorders, such as Crohn's disease and irritable bowel syndrome and makes it difficult for doctors to identify. Early symptoms can be misinterpreted as a sign of other illnesses and can last for a long time, or even years before a mesothelioma is identified.<br><br>In addition to an extensive medical history, a doctor will perform imaging and blood tests to rule out other illnesses and conditions that may cause the same symptoms as mesothelioma. These tests can help to determine the best treatment options.<br><br>Since peritoneal mesothelioma can develop in the abdominal lining The doctor will conduct biopsy to confirm a diagnosis. A biopsy involves the removal of small samples from the affected area to be examined by pathologists. Biopsies can detect cancerous cells as well as identify the mesothelioma type.<br><br>Once a peritoneal mesothelioma diagnosis has been confirmed doctors will discuss treatment options with the patient. The purpose of any treatment plan is usually to reduce the size and quantity of tumors. Surgery is typically the first line of defense however, patients must also consider the possibility of chemotherapy and immunotherapy.<br><br>In contrast to the chest-based treatment for pleural Mesothelioma that is administered via the lungs peritoneal Mesothelioma treatment is administered either intravenously or orally. Chemotherapies that are injected, such as heated intraperitoneal chemotherapy (HIPEC), have helped to prolong the lives of many patients. HIPEC was invented by mesothelioma expert Paul Sugarbaker.<br><br>Patients diagnosed with peritoneal mesothelioma could be able to file an asbestos lawsuit against negligent companies. An attorney for mesothelioma can analyze the case of a patient and recommend legal options. Contact us now to get started. Contact us today. It's free, private and there's no commitment. We offer nationwide representation.<br><br>Prognosis<br><br>Mesothelioma cancer is extremely rare. Because doctors aren't experienced in diagnosing patients, many are mistakenly diagnosed as having other illnesses. Fortunately, a [http://hefeiyechang.com/home.php?mod=space&uid=693663 mesothelioma lawyer] specialist can help with the diagnostic process and provide patients with the right treatment.<br><br>Asbestos exposure is the sole known cause of peritoneal [http://153.126.169.73/question2answer/index.php?qa=user&qa_1=cloudymaraca3 mesothelioma lawsuit] [[http://q.044300.net/home.php?mod=space&uid=522601 Recommended Browsing]]. Asbestos fibers can cause irritation to abdominal tissues as well as cell mutations when inhaled or consumed. In time, this may cause tumors to form a mesothelioma of the peritoneum.<br><br>The exposure to asbestos usually is a result of jobs in manufacturing or construction. These industries can utilize products that contain asbestos, such as insulation and fireproofing. Asbestos is also present in household products such as flooring and roof tiles. Even small amounts of asbestos exposure can put a person in danger of mesothelioma. Because of the long latency period of the disease patients may be diagnosed with peritoneal msothelioma several decades after their initial exposure.<br><br>Peritoneal Mesothelioma can mimic other diseases. It is often mistaken for hernias, digestive issues such as colitis or Crohn's, and other types of abdominal cancer. Many patients do not disclose their asbestos exposure, and do not seek medical attention. When mesothelioma is detected doctors may recommend the procedure of a biopsy to make an precise diagnosis. A biopsy is the removal of the smallest piece of tissue to be tested. This procedure can reveal the stage of mesothelioma, and whether it is epithelioid biphasic or sarcomatoid.<br><br>If mesothelioma has not spread it is possible to remove the tumors. They will also offer an option for curative treatment. The specialist can also determine if the cancer has been able to spread to the abdomen. They can then prescribe palliative treatments for the patient, such as paracentesis to drain the abdominal fluid.<br><br>If mesothelioma progresses the chances of survival are less. This is because the cancer are able to become resistant to certain treatments and can be recurred. The specialist may recommend a combination of surgery and chemotherapy. Surgery options include cytoreduction with hyperthermic intraperitoneal chemotherapy. This combination is more likely than chemotherapy alone to improve the prognosis for patients.

Revision as of 19:09, 21 December 2024

Peritoneal Mesothelioma Asbestos Symptoms

Peritoneal mesothelioma asbestos symptoms often affect the digestive system. This is due to asbestos fibers being ingested and become embedded in the stomach's lining known as the peritoneum.

In time, these fibers cause changes to healthy peritoneal cell. Tumors that are cancerous develop in the peritoneum as a result.

The diagnosis of mesothelioma can be a bit difficult. The early signs can be similar to symptoms of other diseases, like hernia or IBS.

Signs and symptoms

When asbestos fibers are inhaled they can be absorbed into the lungs and circulate throughout the body. They can then get trapped in the lining of the abdomen or other organs, creating inflammation and irritation that eventually leads to the growth of tumors. The process can take years to develop, and most sufferers are unaware that they are exposed to asbestos until it is too late.

Asbestos fibers can get trapped in the tissue that lines the abdominal cavity or other organs, which can cause malignant peritoneal melanomas. It is the second most common form of mesothelioma. However, it can be difficult for doctors to identify as early symptoms are nonspecific. They may also be similar to digestive disorders. Patients with peritoneal mesothelioma often have stomach pain, fatigue, and digestive problems.

Mesothelioma sufferers are usually diagnosed with peritoneal mesothelioma after conducting a physical examination, a medical history review and an array of laboratory tests. An X-ray or CT scan can help doctors detect any lumps or indications of illness. In certain cases, mesothelioma doctors will also order a biopsy to obtain a more precise diagnosis.

Peritoneal Mesothelioma symptoms typically begin in the abdomen and may cause extreme abdominal discomfort, bloating and weight loss. They can also trigger nausea and vomiting as well as other digestive issues. Other symptoms include fatigue, chest pain and swelling. If these symptoms are present it is crucial that victims seek medical attention since they could be caused by other conditions.

Despite the difficulty of diagnosing peritoneal cancer, patients are often able to receive the right treatment to prolong their lives. In most cases, treatment is surgery and chemo that is heated.

Contact our mesothelioma lawyers to learn more about how we can help you if someone in your family has been diagnosed with peritoneal mesothelioma. We can assist you in finding an expert in mesothelioma near you who can assist you in filing a lawsuit against asbestos companies responsible for your exposure. We can also assist you in ensuring that you get the financial compensation you deserve. Fill out our online form to start the process. We have a strong relationship with mesothelioma lawyers to assist you in obtaining the best possible outcome.

Diagnosis

The first step in identifying mesothelioma peritoneal is to obtain an complete medical history. Doctors will inquire about the person's exposure asbestos and the time it occurred. A physical examination will be performed. Initial tests typically include blood tests and Xrays, as well as CT scans.

Because of the long period of latency, peritoneal mesothelioma is often difficult to identify. Patients may experience symptoms such as abdominal nausea, fever and pain that are similar to other conditions. These symptoms that are not specific can cause confusion for doctors. Mesothelioma is a rare type of cancer and it can take decades for symptoms to appear after asbestos exposure.

Asbestos fibers inhaled, or consumed travel into the stomach lining known as the peritoneum. Once in the peritoneum, the asbestos fibers are sharp and irritate the mesothelium. In time this irritation can cause inflammation and scar tissue. Then, it leads to abnormal cell growth and tumors forming.

Researchers are working on methods to detect the disease early. Staging mesothelioma is important as it determines the treatment options.

A mesothelioma expert can perform paracentesis (percutaneous needle biopsy) to collect the specimen for lab testing. These tests can identify the kind of cancer cells (epithelioid biphasic, sarcomatoid, or epithelioid) within the tumor and aid doctors determine the best treatment strategy.

Specialists in mesothelioma can also determine the stage of a patient. It determines which treatment options will be the most effective and help mesothelioma attorneys know which asbestos companies to pursue in mesothelioma lawsuits.

If a mesothelioma specialist analyzes the results from the biopsy and creates a pathology report which contains details about the mesothelioma type. The report could also include an assessment scale that reveals how far the cancer has spread across the body. The more advanced the stage, the less likely it is to respond to treatment. A lawyer can explain the significance of this in a client's situation.

Treatment

Asbestos fibers can be breathed in or consumed and are absorbed in the tissue that lines the abdomen and other organs. They damage DNA and cause irritation to cells. In time, this can lead to the formation of tumors within the lining. Typically, peritoneal mesothelioma develops in the abdomen's lining known as the peritoneum. Peritoneal mesothelioma is rarer than pleural mesothelioma, and typically affects women more.

The symptoms of peritoneal cancer are similar to those that are associated with gastrointestinal disorders, such as Crohn's disease and irritable bowel syndrome and makes it difficult for doctors to identify. Early symptoms can be misinterpreted as a sign of other illnesses and can last for a long time, or even years before a mesothelioma is identified.

In addition to an extensive medical history, a doctor will perform imaging and blood tests to rule out other illnesses and conditions that may cause the same symptoms as mesothelioma. These tests can help to determine the best treatment options.

Since peritoneal mesothelioma can develop in the abdominal lining The doctor will conduct biopsy to confirm a diagnosis. A biopsy involves the removal of small samples from the affected area to be examined by pathologists. Biopsies can detect cancerous cells as well as identify the mesothelioma type.

Once a peritoneal mesothelioma diagnosis has been confirmed doctors will discuss treatment options with the patient. The purpose of any treatment plan is usually to reduce the size and quantity of tumors. Surgery is typically the first line of defense however, patients must also consider the possibility of chemotherapy and immunotherapy.

In contrast to the chest-based treatment for pleural Mesothelioma that is administered via the lungs peritoneal Mesothelioma treatment is administered either intravenously or orally. Chemotherapies that are injected, such as heated intraperitoneal chemotherapy (HIPEC), have helped to prolong the lives of many patients. HIPEC was invented by mesothelioma expert Paul Sugarbaker.

Patients diagnosed with peritoneal mesothelioma could be able to file an asbestos lawsuit against negligent companies. An attorney for mesothelioma can analyze the case of a patient and recommend legal options. Contact us now to get started. Contact us today. It's free, private and there's no commitment. We offer nationwide representation.

Prognosis

Mesothelioma cancer is extremely rare. Because doctors aren't experienced in diagnosing patients, many are mistakenly diagnosed as having other illnesses. Fortunately, a mesothelioma lawyer specialist can help with the diagnostic process and provide patients with the right treatment.

Asbestos exposure is the sole known cause of peritoneal mesothelioma lawsuit [Recommended Browsing]. Asbestos fibers can cause irritation to abdominal tissues as well as cell mutations when inhaled or consumed. In time, this may cause tumors to form a mesothelioma of the peritoneum.

The exposure to asbestos usually is a result of jobs in manufacturing or construction. These industries can utilize products that contain asbestos, such as insulation and fireproofing. Asbestos is also present in household products such as flooring and roof tiles. Even small amounts of asbestos exposure can put a person in danger of mesothelioma. Because of the long latency period of the disease patients may be diagnosed with peritoneal msothelioma several decades after their initial exposure.

Peritoneal Mesothelioma can mimic other diseases. It is often mistaken for hernias, digestive issues such as colitis or Crohn's, and other types of abdominal cancer. Many patients do not disclose their asbestos exposure, and do not seek medical attention. When mesothelioma is detected doctors may recommend the procedure of a biopsy to make an precise diagnosis. A biopsy is the removal of the smallest piece of tissue to be tested. This procedure can reveal the stage of mesothelioma, and whether it is epithelioid biphasic or sarcomatoid.

If mesothelioma has not spread it is possible to remove the tumors. They will also offer an option for curative treatment. The specialist can also determine if the cancer has been able to spread to the abdomen. They can then prescribe palliative treatments for the patient, such as paracentesis to drain the abdominal fluid.

If mesothelioma progresses the chances of survival are less. This is because the cancer are able to become resistant to certain treatments and can be recurred. The specialist may recommend a combination of surgery and chemotherapy. Surgery options include cytoreduction with hyperthermic intraperitoneal chemotherapy. This combination is more likely than chemotherapy alone to improve the prognosis for patients.