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Peritoneal Mesothelioma Asbestos Symptoms<br><br>Peritoneal mesothelioma asbestos signs typically affect the digestive system. This is because asbestos fibers are taken in and are then embedded within the lining of your stomach called the peritoneum.<br><br>As time passes, these fibers cause mutations to healthy peritoneal cell. Cancerous tumors grow in the peritoneum as a result.<br><br>Mesothelioma is a challenging condition to diagnose. The early signs can be similar to symptoms of other diseases, like hernia or irritable bowel syndrome.<br><br>Signs and symptoms<br><br>When asbestos fibers are inhaled they can be absorbed into the lungs and travel throughout the body. The fibers can then get trapped in the linings of the abdomen and other organs. This causes inflammation and irritation, which results in the development of tumors. This process can take years to develop and many patients are unaware of their asbestos exposure until it is too late.<br><br>Malignant peritoneal melanoma develops when asbestos fibers become trapped in the tissues that line the abdominal cavity and other organs. It is the second most common mesothelioma. However, it can be difficult for doctors to identify as early symptoms are nonspecific. They may also be similar to gastrointestinal disorders. Patients with peritoneal cancer frequently suffer from stomach pain, fatigue and gastrointestinal problems.<br><br>Mesothelioma patients are usually diagnosed with peritoneal mesothelioma after undergoing a physical examination, a medical history review and a series of laboratory tests. A CT scan and X-ray can aid in identifying lumps or other signs of illness. In certain cases doctors who treat mesothelioma will also order a biopsied to get a more accurate diagnosis.<br><br>Peritoneal Mesothelioma symptoms usually start in the abdomen and may cause extreme abdominal discomfort, bloating, and weight loss. They can also trigger nausea, vomiting, and other digestive issues. Other symptoms include chest pain, fatigue and swelling. It is crucial for patients to seek medical advice when they have these symptoms because they could be caused by something other than mesothelioma.<br><br>Despite the difficulty in diagnosing peritoneal mesothelioma, patients can often receive the proper treatment to extend their lives. In most cases, treatment involves surgery and chemo treatment that is heated.<br><br>If you or someone you love have been diagnosed with peritoneal cancer, contact our [http://www.stes.tyc.edu.tw/xoops/modules/profile/userinfo.php?uid=2206746 Mesothelioma Attorneys] ([https://mozillabd.science/wiki/Hufftownsend9554 Https://Mozillabd.Science/]) to learn how we can assist. We can help you find a mesothelioma expert near you who can assist you in filing an asbestos lawsuit against asbestos-related companies that are responsible for your exposure. We can also help ensure that you receive the financial compensation you deserve. Complete our online form to begin the process. We can assist you in obtaining the best possible outcome working with top [http://taikwu.com.tw/dsz/home.php?mod=space&uid=639181 mesothelioma attorneys].<br><br>Diagnosis<br><br>To diagnose peritoneal msothelioma, it is crucial to have a an exhaustive medical history. Doctors will ask about the person's exposure asbestos and when it happened. A physical examination will be performed. X-rays, blood tests and CT scans are often used in the initial work-up.<br><br>Peritoneal mesothelioma is difficult to recognize because of its long period of latency. Patients may experience symptoms such as nausea, abdominal pain, and fever that are similar to other illnesses. These symptoms that are not specific could confuse doctors. Mesothelioma is a rare form of cancer that can take years to show symptoms after asbestos exposure, is a rare condition.<br><br>Inhaling or ingestion of asbestos fibers move to the stomach lining known as the peritoneum. When they reach the peritoneum, the asbestos fibers are sharp and can cause irritation to the mesothelium. In time, this irritation causes inflammation and scar tissue growth. In the end, this causes abnormal cell growth and tumors develop.<br><br>Researchers are working on methods to detect the disease at its earliest stages. The stage of mesothelioma determines the treatment options.<br><br>A mesothelioma specialist may perform paracentesis (percutaneous needle biopsy) to collect a sample for laboratory testing. These tests will reveal if the cancer cells are epithelioid (epithelioid), sarcomatoid (sarcomatoid) or biphasic within the tumor. This information aids doctors to develop an appropriate treatment plan.<br><br>Specialists in mesothelioma also determine the stage of the patient. The stage determines the most effective treatments and assists mesothelioma lawyers to determine which asbestos companies are liable in mesothelioma suits.<br><br>When a mesothelioma specialist analyzes the results of a biopsy, they produce a pathology report that includes details on the type of mesothelioma. The report may also contain an assessment scale that reveals how far the cancer has spread across the body. The higher the stage of cancer, the less likely the patient will be able to respond to treatment. Lawyers can explain the implications of this for specific clients.<br><br>Treatment<br><br>Inhalation or swallowing asbestos fibers are embedded in the tissue that lines the abdomen and other organs. These fibers damage DNA and cause irritation to cells. As time passes, this leads to the formation of tumors in the lining. Typically, peritoneal cancer is found in the lining of the abdomen. Peritoneal Mesothelioma affects more women than pleural Mesothelioma, however, it is less prevalent.<br><br>Symptoms of peritoneal mesothelioma are similar to those of gastrointestinal diseases like irritable bowel disorder and Crohn's disease, which makes it difficult for doctors to recognize the condition. Early symptoms can be misinterpreted as a sign of other illnesses and can last for months or even years before mesothelioma is diagnosed.<br><br>A physician will also conduct imaging and blood tests to rule out any other conditions or diseases that may cause the same symptoms as mesothelioma. These tests can help to determine the best treatment options.<br><br>A biopsy is carried out by a doctor to confirm the diagnosis. This is because peritoneal Msothelioma can be found in the abdominal liner. A biopsy involves the removal of small portions of the affected area to be examined by pathologists. Biopsies can identify cancerous cells, and can identify the type of Mesothelioma.<br><br>If a diagnosis of peritoneal cancer is confirmed, doctors will discuss the options for treatment with the patient. The aim of any treatment plan is generally to decrease the size and number of tumors. Surgery is often the first option, but patients may also consider chemotherapy and immunotherapy.<br><br>In contrast to the chest-based treatment for pleural mesothelioma which is administered through the lungs, peritoneal Mesothelioma treatment is injected via intravenously or orally. Injections of chemotherapy like heated intraperitoneal therapy (HIPEC) has helped prolong the survival of many patients. HIPEC was invented by mesothelioma expert Paul Sugarbaker.<br><br>Individuals suffering from peritoneal cancer may be able to sue negligent asbestos companies. An attorney for [http://enbbs.instrustar.com/home.php?mod=space&uid=1439126 mesothelioma lawsuit] can analyze the case of a patient and recommend legal options. Contact us today to get started. It's completely absolutely free, and confidential, and there is no commitment. We offer 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 illnesses. Fortunately mesothelioma specialists can assist in the diagnostic process and help patients receive the right treatment.<br><br>The only known cause of mesothelioma of the peritoneal region is asbestos exposure. Asbestos fibers can cause irritation to the abdominal tissues and cell changes when inhaled or consumed. This can cause tumors to develop mesothelioma within the peritoneum in time.<br><br>The exposure to asbestos usually is a result of work in construction or manufacturing. These industries may utilize products that contain asbestos, such as insulation and fireproofing. Asbestos is also found in household products like roofing tiles and flooring. Even very low levels of exposure can put someone at risk for mesothelioma. Because of the lengthy time of latency the victims could be diagnosed with peritoneal msothelioma several decades after their first exposure.<br><br>Peritoneal mesothelioma symptoms may be similar to those of other diseases and could be mistaken for a hernia digestive problems such as colitis or Crohn's disease or other types of abdominal cancer. A lot of patients do not disclose their asbestos exposure, and do not seek medical attention. If mesothelioma is found doctors may recommend an examination for a more accurate diagnosis. A biopsy involves removing a small portion of the affected tissue for testing. This procedure can reveal whether the mesothelioma is epithelioid (epidermoid), sarcomatoid (sarcomatoid) or biphasic.<br><br>If mesothelioma does not have spread and the doctors are able to remove the tumors. They will also provide an option for curative treatment. The specialist can also determine if the cancer has expanded to the abdomen. They can then prescribe palliative care for the patient, including paracentesis, which drains the fluid from the abdomen.<br><br>When a mesothelioma is advanced and the prognosis is less favorable, it becomes more difficult to treat. The tumors could become resistant to treatment and then recur. The doctor may suggest a combination of chemotherapy and surgery. The surgical options include cytoreduction surgery combined with hyperthermic intraperitoneal chemotherapy. This combination is more likely than chemotherapy alone to improve the prognosis of the patient.
Peritoneal Mesothelioma Asbestos Symptoms<br><br>Peritoneal mesothelioma asbestos symptoms typically affect the digestive system. This is due to asbestos fibers being consumed and are absorbed into the stomach's lining, called the peritoneum.<br><br>In time, these fibers cause mutations to healthy peritoneal cells. Tumors that are cancerous develop in the peritoneum as a result of.<br><br>The diagnosis of mesothelioma may be a bit difficult. Early signs may be confused with other symptoms like hernias or irritable Bowel syndrome.<br><br>Signs and symptoms<br><br>Asbestos fibers can travel through the body when inhaled. From there, they may be stuck in the abdominal lining or other organs, creating inflammation and irritation that eventually leads to the growth of tumors. This process can take a long time to develop and many patients are unaware of their asbestos exposure until too late.<br><br>Malignant peritoneal melanoma develops when asbestos fibers get trapped in the tissues that line the abdominal cavity and other organs. It is the second most frequent type of mesothelioma, but it can be difficult to identify because the initial symptoms aren't specific and are similar to those of digestive diseases. Patients suffering from peritoneal cancer typically suffer from stomach pain, fatigue and gastrointestinal problems.<br><br>After a physical exam followed by a review of medical history, and a series of laboratory tests, mesothelioma patients are diagnosed with peritoneal cancer. A CT scan or X-ray can aid in identifying lumps or any other signs of illness. In some cases, doctors who treat mesothelioma will also require a biopsy to make a more precise diagnosis.<br><br>Peritoneal mesothelioma symptoms usually begin in the abdominal area and can lead to severe abdominal discomfort, weight loss, bloating, swelling of the belly nausea, vomiting, and other digestive issues. Other symptoms include chest pain, swelling, and fatigue. It is crucial for patients to seek medical attention when they have these symptoms, as they could be caused by something other than mesothelioma.<br><br>Despite the difficulty in diagnosing patients with peritoneal msothelioma, they can typically receive the appropriate treatment to prolong their lives. In the majority of cases, the treatment involves surgery and heated chemo.<br><br>If you or a loved one have been diagnosed with peritoneal [http://80.82.64.206/user/partyface6 mesothelioma lawsuits], call our [https://www.longisland.com/profile/oxtuna7 mesothelioma attorneys] to find out how we can help. We can assist you in finding an expert in your area 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 settlement you deserve. You can start this process by filling in our free online form. We can help you get the best possible outcome working with top [https://holmes-griffith.hubstack.net/20-fun-details-about-mesothelioma-attorney-1726469626/ mesothelioma attorneys].<br><br>Diagnosis<br><br>To determine if you have peritoneal msothelioma it is important to have a complete medical history. Doctors will ask about the person's exposure asbestos and when it happened. They also conduct a physical exam. X-rays, blood tests and CT scans are often used in the initial work-up.<br><br>Because of the long time of latency, peritoneal cancer is often difficult to identify. Patients may experience symptoms like abdominal pain, fever and nausea that are similar to other conditions. These symptoms that are not specific can confuse doctors. Mesothelioma is a rare cancer that can take years to show symptoms following exposure to asbestos is a rare condition.<br><br>Inhaling or eating asbestos fibers move to the stomach lining, called the peritoneum. Once inside the peritoneum the asbestos fibers are sharp and can cause irritation to the mesothelium. This irritation leads to scar tissue and inflammation over time. Eventually, this leads to abnormal cell growth, and tumors can develop.<br><br>Researchers are working on methods to detect mesothelioma at its earliest stages. The stage of mesothelioma is the basis for the treatment options.<br><br>A mesothelioma expert can perform paracentesis (percutaneous needle biopsy) to collect the specimen for tests in the laboratory. These tests can reveal the kind of cancer cells (epithelioid, sarcomatoid or biphasic) within the tumor and help doctors come up with an appropriate treatment plan.<br><br>Specialists in mesothelioma also determine the stage of the patient. The stage determines the most effective treatments and also helps mesothelioma lawyers understand which asbestos companies are accountable in mesothelioma suits.<br><br>When a mesothelioma expert analyzes the results from a biopsy, he or she creates a pathology record which contains details about the type of mesothelioma. The report may also include a staging scale that indicates how the cancer has spread across the body. The higher the stage of cancer the less likely a patient is to respond to treatment. A lawyer can explain the implications of this to specific clients.<br><br>Treatment<br><br>When swallowed or inhaled asbestos fibers get encased in the tissues that line the abdomen and other organs. These fibers can cause irritation to cells and damage DNA. This can lead to the development of tumors. The majority of the time, peritoneal mesothelioma is found in the abdomen's lining known as the peritoneum. Peritoneal Mesothelioma has a greater impact on women than pleural mesothelioma but it is less common.<br><br>Symptoms of peritoneal mesothelioma are similar to symptoms of gastrointestinal conditions like irritable bowel syndrome and Crohn's disease. This makes it difficult for doctors to identify the condition. Because of this, early symptoms are mistaken for normal ailments and may last for months or years before a patient receives an mesothelioma-related diagnosis.<br><br>A physician will also conduct imaging and blood tests to rule out other diseases or conditions that may cause the same symptoms as mesothelioma. These tests will also aid in determining the best treatment options.<br><br>Since peritoneal mesothelioma is a cancer that develops the abdominal lining, a doctor will perform biopsy to confirm a diagnosis. A biopsy involves removing small portions of the affected area for examination by pathologists. Biopsies are able to reveal cancerous cells, and identify the type of Mesothelioma.<br><br>If a diagnosis of peritoneal mesothelioma is confirmed doctors will discuss the options for treatment with the patient. The goal of any treatment plan is usually to reduce the size and quantity of tumors. Surgery is often the first option, however patients may also consider chemotherapy and immunotherapy.<br><br>Contrary to the chest-based treatment for pleural mesothelioma which is administered through the lungs, peritoneal Mesothelioma treatment is administered intravenously or orally. Chemotherapies like injections, such as heated intraperitoneal chemotherapy (HIPEC), have helped to extend survival for many patients. HIPEC is a method that was invented by mesothelioma pioneer Paul Sugarbaker.<br><br>Patients diagnosed with peritoneal mesothelioma may qualify to file a lawsuit against negligent asbestos companies. A mesothelioma lawyer can evaluate the case of a patient and suggest legal options. Contact us now to begin. Contact us now. It's free, private, and there's no obligation. We offer nationwide representation.<br><br>Prognosis<br><br>Mesothelioma is a rare type of cancer. Doctors have limited experience with it, and many patients are wrongly diagnosed as having other diseases. A [https://mcdonough-butt-3.blogbright.net/begin-by-meeting-your-fellow-meridian-mesothelioma-attorney-enthusiasts-steve-jobs-of-the-meridian-mesothelioma-attorney-industry/ mesothelioma lawsuit] expert can assist patients with the diagnosis and ensure they receive right treatment.<br><br>The only cause that is known for peritoneal mesothelioma is asbestos exposure. Asbestos fibers can cause irritation to the abdominal tissues and cell mutations when consumed or inhaled. This can cause tumors to develop into mesothelioma in the peritoneum in time.<br><br>Exposure to asbestos often begins with work in construction or manufacturing. These industries can use products that contain asbestos, for example, insulation and fireproofing. Asbestos is also found in household products like flooring and roof tiles. Even the smallest amounts of exposure can put a person at risk for mesothelioma. Due to the long period of latency the victims could be diagnosed with peritoneal mesothelioma several decades after their first exposure.<br><br>Peritoneal Mesothelioma is a type of cancer that can be diseases. It is often mistaken for hernias, gastrointestinal issues like colitis or Crohn's, and other types of abdominal cancer. Many patients don't disclose their asbestos exposure, and do not seek medical care. A biopsy may be recommended by a specialist to confirm a diagnosis of mesothelioma. A biopsy is the process of removing a small portion of the affected tissue to test. This test can determine 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 the best 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, for example paracentesis that drains abdominal fluid.<br><br>The prognosis is worsened when a mesothelioma has progressed. This is because the tumors can become resistant to certain treatments and can be recurred. The specialist may recommend an amalgamation of surgery and chemotherapy. The surgical options include cytoreduction surgery along with hyperthermic intraperitoneal therapy. This combination is more likely than chemotherapy by itself to improve the outlook of the patient.

Revision as of 14:55, 19 January 2025

Peritoneal Mesothelioma Asbestos Symptoms

Peritoneal mesothelioma asbestos symptoms typically affect the digestive system. This is due to asbestos fibers being consumed and are absorbed into the stomach's lining, called the peritoneum.

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

The diagnosis of mesothelioma may be a bit difficult. Early signs may be confused with other symptoms like hernias or irritable Bowel syndrome.

Signs and symptoms

Asbestos fibers can travel through the body when inhaled. From there, they may be stuck in the abdominal lining or other organs, creating inflammation and irritation that eventually leads to the growth of tumors. This process can take a long time to develop and many patients are unaware of their asbestos exposure until too late.

Malignant peritoneal melanoma develops when asbestos fibers get trapped in the tissues that line the abdominal cavity and other organs. It is the second most frequent type of mesothelioma, but it can be difficult to identify because the initial symptoms aren't specific and are similar to those of digestive diseases. Patients suffering from peritoneal cancer typically suffer from stomach pain, fatigue and gastrointestinal problems.

After a physical exam followed by a review of medical history, and a series of laboratory tests, mesothelioma patients are diagnosed with peritoneal cancer. A CT scan or X-ray can aid in identifying lumps or any other signs of illness. In some cases, doctors who treat mesothelioma will also require a biopsy to make a more precise diagnosis.

Peritoneal mesothelioma symptoms usually begin in the abdominal area and can lead to severe abdominal discomfort, weight loss, bloating, swelling of the belly nausea, vomiting, and other digestive issues. Other symptoms include chest pain, swelling, and fatigue. It is crucial for patients to seek medical attention when they have these symptoms, as they could be caused by something other than mesothelioma.

Despite the difficulty in diagnosing patients with peritoneal msothelioma, they can typically receive the appropriate treatment to prolong their lives. In the majority of cases, the treatment involves surgery and heated chemo.

If you or a loved one have been diagnosed with peritoneal mesothelioma lawsuits, call our mesothelioma attorneys to find out how we can help. We can assist you in finding an expert in your area 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 settlement you deserve. You can start this process by filling in our free online form. We can help you get the best possible outcome working with top mesothelioma attorneys.

Diagnosis

To determine if you have peritoneal msothelioma it is important to have a complete medical history. Doctors will ask about the person's exposure asbestos and when it happened. They also conduct a physical exam. X-rays, blood tests and CT scans are often used in the initial work-up.

Because of the long time of latency, peritoneal cancer is often difficult to identify. Patients may experience symptoms like abdominal pain, fever and nausea that are similar to other conditions. These symptoms that are not specific can confuse doctors. Mesothelioma is a rare cancer that can take years to show symptoms following exposure to asbestos is a rare condition.

Inhaling or eating asbestos fibers move to the stomach lining, called the peritoneum. Once inside the peritoneum the asbestos fibers are sharp and can cause irritation to the mesothelium. This irritation leads to scar tissue and inflammation over time. Eventually, this leads to abnormal cell growth, and tumors can develop.

Researchers are working on methods to detect mesothelioma at its earliest stages. The stage of mesothelioma is the basis for the treatment options.

A mesothelioma expert can perform paracentesis (percutaneous needle biopsy) to collect the specimen for tests in the laboratory. These tests can reveal the kind of cancer cells (epithelioid, sarcomatoid or biphasic) within the tumor and help doctors come up with an appropriate treatment plan.

Specialists in mesothelioma also determine the stage of the patient. The stage determines the most effective treatments and also helps mesothelioma lawyers understand which asbestos companies are accountable in mesothelioma suits.

When a mesothelioma expert analyzes the results from a biopsy, he or she creates a pathology record which contains details about the type of mesothelioma. The report may also include a staging scale that indicates how the cancer has spread across the body. The higher the stage of cancer the less likely a patient is to respond to treatment. A lawyer can explain the implications of this to specific clients.

Treatment

When swallowed or inhaled asbestos fibers get encased in the tissues that line the abdomen and other organs. These fibers can cause irritation to cells and damage DNA. This can lead to the development of tumors. The majority of the time, peritoneal mesothelioma is found in the abdomen's lining known as the peritoneum. Peritoneal Mesothelioma has a greater impact on women than pleural mesothelioma but it is less common.

Symptoms of peritoneal mesothelioma are similar to symptoms of gastrointestinal conditions like irritable bowel syndrome and Crohn's disease. This makes it difficult for doctors to identify the condition. Because of this, early symptoms are mistaken for normal ailments and may last for months or years before a patient receives an mesothelioma-related diagnosis.

A physician will also conduct imaging and blood tests to rule out other diseases or conditions that may cause the same symptoms as mesothelioma. These tests will also aid in determining the best treatment options.

Since peritoneal mesothelioma is a cancer that develops the abdominal lining, a doctor will perform biopsy to confirm a diagnosis. A biopsy involves removing small portions of the affected area for examination by pathologists. Biopsies are able to reveal cancerous cells, and identify the type of Mesothelioma.

If a diagnosis of peritoneal mesothelioma is confirmed doctors will discuss the options for treatment with the patient. The goal of any treatment plan is usually to reduce the size and quantity of tumors. Surgery is often the first option, however patients may also consider chemotherapy and immunotherapy.

Contrary to the chest-based treatment for pleural mesothelioma which is administered through the lungs, peritoneal Mesothelioma treatment is administered intravenously or orally. Chemotherapies like injections, such as heated intraperitoneal chemotherapy (HIPEC), have helped to extend survival for many patients. HIPEC is a method that was invented by mesothelioma pioneer Paul Sugarbaker.

Patients diagnosed with peritoneal mesothelioma may qualify to file a lawsuit against negligent asbestos companies. A mesothelioma lawyer can evaluate the case of a patient and suggest legal options. Contact us now to begin. Contact us now. It's free, private, and there's no obligation. We offer nationwide representation.

Prognosis

Mesothelioma is a rare type of cancer. Doctors have limited experience with it, and many patients are wrongly diagnosed as having other diseases. A mesothelioma lawsuit expert can assist patients with the diagnosis and ensure they receive right treatment.

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

Exposure to asbestos often begins with work in construction or manufacturing. These industries can use products that contain asbestos, for example, insulation and fireproofing. Asbestos is also found in household products like flooring and roof tiles. Even the smallest amounts of exposure can put a person at risk for mesothelioma. Due to the long period of latency the victims could be diagnosed with peritoneal mesothelioma several decades after their first exposure.

Peritoneal Mesothelioma is a type of cancer that can be diseases. It is often mistaken for hernias, gastrointestinal issues like colitis or Crohn's, and other types of abdominal cancer. Many patients don't disclose their asbestos exposure, and do not seek medical care. A biopsy may be recommended by a specialist to confirm a diagnosis of mesothelioma. A biopsy is the process of removing a small portion of the affected tissue to test. This test can determine 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 the best 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, for example paracentesis that drains abdominal fluid.

The prognosis is worsened when a mesothelioma has progressed. This is because the tumors can become resistant to certain treatments and can be recurred. The specialist may recommend an amalgamation of surgery and chemotherapy. The surgical options include cytoreduction surgery along with hyperthermic intraperitoneal therapy. This combination is more likely than chemotherapy by itself to improve the outlook of the patient.