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Peritoneal Mesothelioma Asbestos Symptoms<br><br>Peritoneal mesothelioma asbestos symptoms typically affect the digestive system. This is due to asbestos fibers being ingested and become embedded in the lining of the stomach known as the peritoneum.<br><br>As time passes, these fibers cause changes to healthy peritoneal cells. Tumors that are cancerous develop in the peritoneum as a result.<br><br>The diagnosis of mesothelioma may be a challenge. The initial signs may resemble symptoms of other conditions like hernia, or IBS.<br><br>Symptoms<br><br>When asbestos fibers are inhaled they can enter the lungs and circulate throughout the body. From there, they can be stuck in the lining of the abdomen or other organs, causing inflammation and irritation that can lead to tumor growth. The process can take years to develop and many victims are unaware of their asbestos exposure until it is too late.<br><br>Asbestos fibers may get caught in the tissues that line the abdominal cavity or other organs, leading to malignant peritoneal melanoma. It is the second most frequent mesothelioma type, however it is difficult to recognize because the early symptoms are not specific and similar to symptoms of gastrointestinal diseases. Patients with peritoneal cancer frequently experience fatigue, stomach pain and gastrointestinal issues.<br><br>Mesothelioma patients are usually diagnosed with peritoneal mesothelioma after undergoing a physical examination, a medical history review and several tests in the laboratory. A X-ray and a CT scan can assist doctors to identify any lumps or other symptoms of disease. In some cases, doctors who treat mesothelioma will also require a biopsy to make a more precise diagnosis.<br><br>Peritoneal Mesothelioma symptoms typically begin in the abdomen and can cause severe abdominal discomfort, bloating, and weight loss. They may also cause nausea and vomiting, as well as other digestive issues. The symptoms can also include chest pain, swelling and fatigue. It is crucial for patients to seek medical attention in the event of these symptoms, as they could be caused by something other than mesothelioma.<br><br>Despite the difficulty in diagnosing peritoneal msothelioma patients, they can often be treated to prolong their lives. In the majority of cases, this is done through the use of surgery and chemotherapy that is heated.<br><br>If you or someone you love have been diagnosed with peritoneal [https://pediascape.science/wiki/10_Mesothelioma_Asbestos_LawyerRelated_Projects_That_Stretch_Your_Creativity mesothelioma lawsuit], contact our mesothelioma attorneys to find out how we can assist. We can help you connect with mesothelioma specialists in your area and assist you in bringing a suit against the asbestos companies that are responsible for your exposure. We can also assist you to get the financial compensation you are entitled to. You can start this process by filling out our no-cost online form. We can help you get the best possible outcome by working with top mesothelioma attorneys.<br><br>Diagnosis<br><br>To diagnose peritoneal Msothelioma it is important to have an extensive medical history. Doctors will ask about the patient's exposure to asbestos and the time it occurred. A physical examination will be performed. Blood tests, X-rays, and CT scans are typically employed in the initial examination.<br><br>Peritoneal mesothelioma is a difficult cancer to recognize because of its long period of latency. Patients may be afflicted by symptoms like abdominal pain, nausea and fever that are similar to other conditions. These nonspecific symptoms can confuse doctors. Mesothelioma is a rare cancer, and it can take years for symptoms to appear after exposure to asbestos.<br><br>Inhaling or ingestion of asbestos fibers move into the stomach lining, known as the peritoneum. Once inside the peritoneum the sharp asbestos fibers cause irritation to the mesothelium. This irritation can cause inflammation and scar tissue over time. Then, it leads to abnormal cell growth and tumors forming.<br><br>There are no FDA-approved screening tests for peritoneal mesothelioma but researchers are working on developing methods to detect the disease in its earliest stages. The stage of mesothelioma determines the treatment options.<br><br>A mesothelioma specialist can perform a paracentesis or percutaneous needle biopsy to take a sample of mesothelioma tumors to be tested in the lab. These tests can reveal the type of cancer cells (epithelioid or sarcomatoid) within the tumor, and assist doctors to come up with a treatment plan.<br><br>Specialists in mesothelioma can also determine the stage of a patient. Staging determines which treatments might be most effective and helps mesothelioma attorneys know which asbestos companies to pursue in mesothelioma lawsuits.<br><br>When a mesothelioma specialist analyzes the results of a biopsy they prepare an a pathology report which contains details on the type of [https://glamorouslengths.com/author/coatnoise2/ mesothelioma lawyers]. The report can also include a staging system that describes how the cancer has spread in the body. The more advanced the stage of cancer is, the less likely the patient will be able 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 tissues lining the abdomen and other organs. These fibers can cause irritation to cells and cause DNA damage. This causes the formation of tumors. Typically, peritoneal [http://ywhhg.com/home.php?mod=space&uid=1073843 mesothelioma lawsuit] develops in the lining of the abdomen called the peritoneum. Peritoneal Mesothelioma affects more women than pleural mesothelioma however, it is less prevalent.<br><br>The symptoms of peritoneal cancer are similar to those that are associated with digestive disorders like Crohn's disease and irritable bowel syndrome, making it hard for doctors to identify. In the beginning, symptoms can be mistaken as normal ailments and can persist for months or even years before a patient is given the mesothelioma diagnosis.<br><br>In addition to an extensive medical history, a doctor will perform bloodwork and imaging tests to rule out other diseases and conditions that could trigger the same symptoms as mesothelioma. These tests can be used to determine the best treatment options.<br><br>A biopsy is conducted by a physician to confirm the diagnosis. This is because peritoneal msothelioma occurs in the abdominal lining. A biopsy is the process of removing small amounts of the affected area to be examined by pathologists. Biopsies can reveal cancerous cells and identify the type of mesothelioma.<br><br>If a peritoneal msothelioma has been confirmed, doctors will discuss the treatment options with patients. The goal of a treatment plan is to decrease the size and quantity of tumors. Surgery is typically the first line of defense however, patients should also talk about the possibility of immunotherapy and chemotherapy.<br><br>In contrast to the chest-based treatment for pleural Mesothelioma which is administered via the lungs peritoneal Mesothelioma treatment is administered via intravenously or orally. Chemotherapies that are injected, such as heated intraperitoneal chemotherapy (HIPEC) have been able to prolong the lives of many patients. HIPEC is a procedure innovated by mesothelioma pioneer Paul Sugarbaker.<br><br>Patients suffering from peritoneal asbestosis could be able to bring a lawsuit against negligent asbestos companies. A knowledgeable mesothelioma attorney ([https://atavi.com/share/ww1sb1z1jw0p6 visit web site]) will evaluate a patient's situation and suggest legal options. Contact us now to begin. It's free, confidential and there is no obligation. We provide nationwide representation.<br><br>Prognosis<br><br>Mesothelioma cancer is a rare form of cancer. Because doctors aren't experienced, many patients are misdiagnosed with other diseases. A mesothelioma specialist can assist patients identify the cause and ensure they receive right treatment.<br><br>The sole known cause of peritoneal mesothelioma is asbestos exposure. Asbestos fibers can cause irritation to the abdominal tissues and cell mutations when consumed or inhaled. Over time, this can result in tumors that develop into a [https://brown-osborn.thoughtlanes.net/10-places-where-you-can-find-cleveland-mesothelioma-attorney-1728978740/ mesothelioma lawyers] of the peritoneum.<br><br>The exposure to asbestos usually is a result of work in construction or manufacturing. These industries may utilize asbestos-containing materials, such as fireproofing and insulation. Asbestos is also found in household items, such as roofing tiles and flooring. Even the smallest amounts of exposure can put a person at risk for mesothelioma. Because mesothelioma has a long time to develop it is possible for patients to be diagnosed with peritoneal mesothelioma years after their initial exposure.<br><br>Peritoneal mesothelioma symptoms may resemble those of other conditions and can be mistaken for hernias, digestive issues such as colitis or Crohn's disease or other forms of abdominal cancer. Because of this, many patients don't report their exposure to asbestos and they do not seek medical attention. Specialists may recommend a biopsy to confirm the diagnosis of mesothelioma. A biopsy involves the removal of a small portion of the affected tissue to test. This procedure can reveal whether the mesothelioma has epithelioid (epidermoid), the sarcomatoid (sarcomatoid) or biphasic.<br><br>If the mesothelioma is in an early stage, doctors can remove all the tumors and offer curative treatment. The specialist can also determine whether the cancer has spread to the abdomen. They may then recommend palliative care for the patient, including paracentesis to drain the fluid from the abdomen.<br><br>When a mesothelioma is advanced and the prognosis is less favorable, it becomes more difficult to treat. This is because the tumors may become resistant to certain treatments, and they may develop a recurrence. The doctor might recommend an amalgamation of chemotherapy and surgery. Options for surgery include cytoreduction and hyperthermic intraperitoneal chemo. This combination is more likely to improve a patient's outlook than merely chemotherapy alone.
Peritoneal Mesothelioma Asbestos Symptoms<br><br>Peritoneal mesothelioma asbestos symptoms typically affect the digestive system. This is due to asbestos fibers being ingested and become embedded in the stomach's lining and peritoneum.<br><br>Over time, these fibres cause mutations to healthy peritoneal cell. In the end tumors that are cancerous develop in the peritoneum.<br><br>The diagnosis of mesothelioma may be a bit difficult. The early signs may be confused with other symptoms such as hernias or irritable Bowel Syndrome.<br><br>Symptoms<br><br>When asbestos fibers are inhaled they can pass into the lungs and circulate throughout the body. They can then become trapped in the lining of the abdomen or other organs, creating inflammation and irritation that can lead to the growth of tumors. This process can take a long time to develop and many victims are unaware of their asbestos exposure until too late.<br><br>Malignant peritoneal melanoma develops when asbestos fibers become trapped in the tissue that lines the abdominal cavity and other organs. It is the second most frequent mesothelioma. However, it can be difficult to identify because the initial symptoms aren't specific and are similar to symptoms of gastrointestinal conditions. Patients with peritoneal cancer often have stomach pain, fatigue and gastrointestinal problems.<br><br>Mesothelioma patients are usually diagnosed with peritoneal mesothelioma following conducting a physical examination as well as a medical history check and a series of tests performed by a laboratory. A CT scan or X-ray can help doctors detect lumps, or other indications of disease. In certain cases, mesothelioma doctors will also order a biopsy to obtain a more precise diagnosis.<br><br>Peritoneal mesothelioma symptoms usually begin in the abdominal area and can cause severe abdominal pain, weight loss, bloating fluid buildup in the belly, nausea, vomiting and other digestive issues. Other symptoms include chest pain, swelling, and fatigue. When these symptoms occur, it is important that patients seek medical attention since they could be caused by other ailments.<br><br>Despite the difficulty of diagnosing peritoneal cancer, patients typically receive the appropriate treatment to prolong their lives. In most cases, this is done through surgical treatment and heated chemotherapy.<br><br>If you or a loved one have been diagnosed with peritoneal cancer, contact our [https://www.metooo.es/u/66e8a809f2059b59ef382859 mesothelioma attorneys] to find out what we can do to help. We can help you locate a mesothelioma expert near you who can help you file an asbestos lawsuit against asbestos-related companies that are responsible for your exposure. We can also help you receive the financial compensation you are entitled to. Complete our online form to begin the process. We can help you get the best possible outcome by working with top mesothelioma attorneys.<br><br>Diagnosis<br><br>To diagnose peritoneal Msothelioma it is important to have an extensive medical history. Doctors will ask patients about their exposure to asbestos and when it occurred. They also conduct a physical examination. Blood tests, X-rays and CT scans are often used in the initial work-up.<br><br>Peritoneal mesothelioma is a difficult cancer to diagnose because of its long latency period. Patients may experience symptoms like abdominal pain, fever and nausea that are similar to other conditions. These nonspecific symptoms may cause confusion for doctors. Mesothelioma is a rare cancer that can take years to show symptoms following exposure to asbestos, is a rare condition.<br><br>Inhaled or ingested asbestos fibers move to the stomach lining, called the peritoneum. Asbestos fibers are sharp and irritate mesothelium when they reach the peritoneum. This irritation can cause inflammation and scar tissue over time. Then, it leads to abnormal cell growth, and tumors can develop.<br><br>Researchers are working on methods to detect the disease early. The stage of mesothelioma determines the treatment options.<br><br>A mesothelioma specialist can conduct a paracentesis or percutaneous needle biopsy to take a sample of mesothelioma tumors to be tested in the lab. These tests can identify the kind of cancer cells (epithelioid, sarcomatoid or biphasic) within the tumor and help doctors determine an appropriate treatment strategy.<br><br>Mesothelioma specialists can also assess the stage of mesothelioma a patient is. The staging process determines which treatments will be most effective and helps mesothelioma lawyers know which asbestos companies to pursue in [http://153.126.169.73/question2answer/index.php?qa=user&qa_1=geartanker89 mesothelioma lawsuits].<br><br>When a mesothelioma expert analyzes the results of an examination the doctor creates a pathology report that includes information about the type mesothelioma. The report may also contain an assessment scale that reveals how far the cancer has spread across the body. The more advanced the stage, the less likely it will respond to treatment. A lawyer can explain what this means for a client's case.<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. The fibers harm DNA and cause irritation to cells. This causes the formation of tumors. The majority of the time, peritoneal cancer develops in the lining of the abdomen. Peritoneal Mesothelioma is more prevalent in women than pleural mesothelioma however, it is less prevalent.<br><br>The symptoms of peritoneal mesothelioma are similar to those of gastrointestinal conditions like irritable bowel syndrome and Crohn's disease, making it difficult for doctors to diagnose the condition. Initial symptoms may be misinterpreted as other conditions and can last for months or even years before a mesothelioma is diagnosed.<br><br>A doctor will also conduct imaging and blood tests to rule out any other diseases or conditions that may cause the same symptoms of mesothelioma. These tests will help to determine the best treatment options.<br><br>Since peritoneal mesothelioma can develop in the abdominal lining, a doctor will perform an examination to confirm the diagnosis. A biopsy involves removing small portions of the affected area for examination by pathologists. Biopsies may reveal cancerous cells and determine the mesothelioma type.<br><br>If a diagnosis of peritoneal [https://sovren.media/u/gasotter67/ mesothelioma lawyer] has been established, doctors will discuss the options for treatment with the patient. Generally, the goal of a treatment plan is to decrease the size and number 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 chest-based therapies for pleural mesothelioma, which are administered via the lung, the peritoneal mesothelioma treatment are injected orally or intravenously. Chemotherapy injections such as heated intraperitoneal therapy (HIPEC), helped extend survival for many patients. HIPEC was developed by [https://writeablog.net/fowlinsect38/how-to-choose-the-right-mesothelioma-asbestos-lawyer-on-the-internet mesothelioma lawsuit] expert Paul Sugarbaker.<br><br>Individuals with peritoneal asbestosis may be able to bring a lawsuit against negligent asbestos companies. A mesothelioma attorney can review the case of a patient and recommend legal options. Contact us now to get started. Contact us now. It's free, confidential, and there's no obligation. We offer nationwide representation.<br><br>Prognosis<br><br>Mesothelioma cancer is extremely rare. Doctors aren't familiar with it, and many patients are mistakenly diagnosed with other illnesses. Fortunately mesothelioma specialists can help with the diagnostic process and provide patients with the appropriate treatment.<br><br>Asbestos exposure is the sole known cause of peritoneal mesothelioma. Asbestos fibers can cause irritation of abdominal tissues and cell mutations when inhaled or consumed. This can cause tumors to develop into mesothelioma in the peritoneum in time.<br><br>Manufacturing or construction work is usually the first area where asbestos exposure starts. These industries could use asbestos-containing materials like fireproofing and insulation. Asbestos can also be found in household items such as roof tiles and flooring. Even the smallest amounts of exposure put a person at risk of developing mesothelioma. Because the disease has a long latency period patients may be diagnosed with peritoneal cancer decades after their initial exposure.<br><br>Peritoneal Mesothelioma can mimic other conditions. It is often mistaken for hernias or gastrointestinal problems like Crohn's or colitis and other forms of abdominal cancer. This is why many patients don't report their exposure to asbestos and they don't seek medical care. A biopsy may be recommended by a specialist to confirm the diagnosis of mesothelioma. A biopsy is the removal of tiny pieces of tissue that is examined. This test will reveal whether the mesothelioma has epithelioid (epidermoid) or Sarcomatoid (sarcomatoid) or biphasic.<br><br>If the mesothelioma is in an early stage doctors can remove all of the tumors and offer curative treatment. The doctor will also be able to determine whether the cancer has spread to the abdomen. They may then recommend palliative care for the patient, such as paracentesis that drains abdominal fluid.<br><br>The prognosis is worsened when a mesothelioma has advanced. The cancers can become resistant to certain treatment and recur. The specialist may suggest a combination of chemotherapy and surgery. Surgical options include cytoreduction surgery with hyperthermic intraperitoneal chemotherapy. This combination is more likely than chemotherapy alone to improve the outlook of a patient.

Revision as of 15:54, 27 December 2024

Peritoneal Mesothelioma Asbestos Symptoms

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

Over time, these fibres cause mutations to healthy peritoneal cell. In the end tumors that are cancerous develop in the peritoneum.

The diagnosis of mesothelioma may be a bit difficult. The early signs may be confused with other symptoms such as hernias or irritable Bowel Syndrome.

Symptoms

When asbestos fibers are inhaled they can pass into the lungs and circulate throughout the body. They can then become trapped in the lining of the abdomen or other organs, creating inflammation and irritation that can lead to the growth of tumors. This process can take a long time to develop and many victims are unaware of their asbestos exposure until too late.

Malignant peritoneal melanoma develops when asbestos fibers become trapped in the tissue that lines the abdominal cavity and other organs. It is the second most frequent mesothelioma. However, it can be difficult to identify because the initial symptoms aren't specific and are similar to symptoms of gastrointestinal conditions. Patients with peritoneal cancer often have stomach pain, fatigue and gastrointestinal problems.

Mesothelioma patients are usually diagnosed with peritoneal mesothelioma following conducting a physical examination as well as a medical history check and a series of tests performed by a laboratory. A CT scan or X-ray can help doctors detect lumps, or other indications of disease. In certain cases, mesothelioma doctors will also order a biopsy to obtain a more precise diagnosis.

Peritoneal mesothelioma symptoms usually begin in the abdominal area and can cause severe abdominal pain, weight loss, bloating fluid buildup in the belly, nausea, vomiting and other digestive issues. Other symptoms include chest pain, swelling, and fatigue. When these symptoms occur, it is important that patients seek medical attention since they could be caused by other ailments.

Despite the difficulty of diagnosing peritoneal cancer, patients typically receive the appropriate treatment to prolong their lives. In most cases, this is done through surgical treatment and heated chemotherapy.

If you or a loved one have been diagnosed with peritoneal cancer, contact our mesothelioma attorneys to find out what we can do to help. We can help you locate a mesothelioma expert near you who can help you file an asbestos lawsuit against asbestos-related companies that are responsible for your exposure. We can also help you receive the financial compensation you are entitled to. Complete our online form to begin the process. We can help you get the best possible outcome by working with top mesothelioma attorneys.

Diagnosis

To diagnose peritoneal Msothelioma it is important to have an extensive medical history. Doctors will ask patients about their exposure to asbestos and when it occurred. They also conduct a physical examination. Blood tests, X-rays and CT scans are often used in the initial work-up.

Peritoneal mesothelioma is a difficult cancer to diagnose because of its long latency period. Patients may experience symptoms like abdominal pain, fever and nausea that are similar to other conditions. These nonspecific symptoms may cause confusion for doctors. Mesothelioma is a rare cancer that can take years to show symptoms following exposure to asbestos, is a rare condition.

Inhaled or ingested asbestos fibers move to the stomach lining, called the peritoneum. Asbestos fibers are sharp and irritate mesothelium when they reach the peritoneum. This irritation can cause inflammation and scar tissue over time. Then, it leads to abnormal cell growth, and tumors can develop.

Researchers are working on methods to detect the disease early. The stage of mesothelioma determines the treatment options.

A mesothelioma specialist can conduct a paracentesis or percutaneous needle biopsy to take a sample of mesothelioma tumors to be tested in the lab. These tests can identify the kind of cancer cells (epithelioid, sarcomatoid or biphasic) within the tumor and help doctors determine an appropriate treatment strategy.

Mesothelioma specialists can also assess the stage of mesothelioma a patient is. The staging process determines which treatments will be most effective and helps mesothelioma lawyers know which asbestos companies to pursue in mesothelioma lawsuits.

When a mesothelioma expert analyzes the results of an examination the doctor creates a pathology report that includes information about the type mesothelioma. The report may also contain an assessment scale that reveals how far the cancer has spread across the body. The more advanced the stage, the less likely it will respond to treatment. A lawyer can explain what this means for a client's case.

Treatment

Asbestos fibers can be breathed in or consumed and are absorbed in the tissue that lines the abdomen and other organs. The fibers harm DNA and cause irritation to cells. This causes the formation of tumors. The majority of the time, peritoneal cancer develops in the lining of the abdomen. Peritoneal Mesothelioma is more prevalent in women than pleural mesothelioma however, it is less prevalent.

The symptoms of peritoneal mesothelioma are similar to those of gastrointestinal conditions like irritable bowel syndrome and Crohn's disease, making it difficult for doctors to diagnose the condition. Initial symptoms may be misinterpreted as other conditions and can last for months or even years before a mesothelioma is diagnosed.

A doctor will also conduct imaging and blood tests to rule out any other diseases or conditions that may cause the same symptoms of mesothelioma. These tests will help to determine the best treatment options.

Since peritoneal mesothelioma can develop in the abdominal lining, a doctor will perform an examination to confirm the diagnosis. A biopsy involves removing small portions of the affected area for examination by pathologists. Biopsies may reveal cancerous cells and determine the mesothelioma type.

If a diagnosis of peritoneal mesothelioma lawyer has been established, doctors will discuss the options for treatment with the patient. Generally, the goal of a treatment plan is to decrease the size and number of tumors. Surgery is typically the first line of defense, however, patients must also consider the possibility of chemotherapy and immunotherapy.

In contrast to chest-based therapies for pleural mesothelioma, which are administered via the lung, the peritoneal mesothelioma treatment are injected orally or intravenously. Chemotherapy injections such as heated intraperitoneal therapy (HIPEC), helped extend survival for many patients. HIPEC was developed by mesothelioma lawsuit expert Paul Sugarbaker.

Individuals with peritoneal asbestosis may be able to bring a lawsuit against negligent asbestos companies. A mesothelioma attorney can review the case of a patient and recommend legal options. Contact us now to get started. Contact us now. It's free, confidential, and there's no obligation. We offer nationwide representation.

Prognosis

Mesothelioma cancer is extremely rare. Doctors aren't familiar with it, and many patients are mistakenly diagnosed with other illnesses. Fortunately mesothelioma specialists can help with the diagnostic process and provide patients with the appropriate treatment.

Asbestos exposure is the sole known cause of peritoneal mesothelioma. Asbestos fibers can cause irritation of abdominal tissues and cell mutations when inhaled or consumed. This can cause tumors to develop into mesothelioma in the peritoneum in time.

Manufacturing or construction work is usually the first area where asbestos exposure starts. These industries could use asbestos-containing materials like fireproofing and insulation. Asbestos can also be found in household items such as roof tiles and flooring. Even the smallest amounts of exposure put a person at risk of developing mesothelioma. Because the disease has a long latency period patients may be diagnosed with peritoneal cancer decades after their initial exposure.

Peritoneal Mesothelioma can mimic other conditions. It is often mistaken for hernias or gastrointestinal problems like Crohn's or colitis and other forms of abdominal cancer. This is why many patients don't report their exposure to asbestos and they don't seek medical care. A biopsy may be recommended by a specialist to confirm the diagnosis of mesothelioma. A biopsy is the removal of tiny pieces of tissue that is examined. This test will reveal whether the mesothelioma has epithelioid (epidermoid) or Sarcomatoid (sarcomatoid) or biphasic.

If the mesothelioma is in an early stage doctors can remove all of the tumors and offer curative treatment. The doctor will also be able to determine whether the cancer has spread to the abdomen. They may then recommend palliative care for the patient, such as paracentesis that drains abdominal fluid.

The prognosis is worsened when a mesothelioma has advanced. The cancers can become resistant to certain treatment and recur. The specialist may suggest a combination of chemotherapy and surgery. Surgical options include cytoreduction surgery with hyperthermic intraperitoneal chemotherapy. This combination is more likely than chemotherapy alone to improve the outlook of a patient.