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Peritoneal Mesothelioma Asbestos Symptoms<br><br>The digestive system is frequently affected by the symptoms of peritoneal mesothelioma. This is because asbestos fibers are taken in and are then embedded in a lining of the stomach called the peritoneum.<br><br>As time passes the fibers trigger mutations in healthy peritoneal cells. Cancerous tumors grow in the peritoneum as a result.<br><br>The diagnosis of mesothelioma may be a bit difficult. Early signs may be confused with other signs like 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 stuck in the abdominal lining or other organs, causing inflammation and irritation that eventually leads to the growth of tumors. 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 can become trapped in the tissue lining the abdominal cavity or other organs, which can cause malignant peritoneal melanomas. It is the second most prevalent type of mesothelioma, but it is difficult to recognize because the early symptoms aren't specific and are similar to those of digestive conditions. Patients with peritoneal mesothelioma frequently experience stomach pain, fatigue, and gastrointestinal problems.<br><br>Mesothelioma sufferers are usually diagnosed with peritoneal mesothelioma following undergoing a physical examination, a medical history review and a series of tests performed by a laboratory. A CT scan or X-ray may help doctors identify lumps or any 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 can cause severe abdominal discomfort, bloating, and weight loss. They can also trigger nausea, vomiting, and other digestive issues. Other symptoms include chest pain, fatigue and swelling. When these symptoms occur it is crucial to seek medical attention because they may be caused by other illnesses.<br><br>Despite the difficulty of diagnosing peritoneal msothelioma patients, they can often receive the right treatment to prolong their lives. In most cases, this involves surgical treatment and heated chemotherapy.<br><br>If you or a loved one have been diagnosed with peritoneal mesothelioma, contact our mesothelioma attorneys ([http://www.028bbs.com/space-uid-140188.html Http://www.028bbs.com/]) to learn what we can do to help. We can help you find an expert in your area who can assist you in filing an asbestos lawsuit against the companies responsible for your exposure. We can also help you get the financial compensation you deserve. Start the process by filling in our free online form. We can assist you to get the best possible outcome by working with top mesothelioma attorneys.<br><br>Diagnosis<br><br>The first step in diagnosing mesothelioma of the peritoneal region is to collect an complete medical history. Doctors will ask about the patient's exposure to asbestos and when it occurred. A physical examination will be conducted. Initial examinations typically include blood tests and X-rays, as well as CT scans.<br><br>Due to the lengthy period of latency, peritoneal mesothelioma can be difficult to recognize. Patients may experience symptoms like abdominal pain, fever and nausea that resemble other conditions. These symptoms that are not specific can cause confusion for doctors. Mesothelioma is a rare form of cancer that can take years to show symptoms following exposure to asbestos is a rare disease.<br><br>Inhaled or ingested asbestos fibers travel into the stomach lining, known as the peritoneum. Asbestos fibers are sharp and irritate mesothelium when they reach the peritoneum. This irritation can cause inflammation and scar tissue over time. Eventually, this leads to abnormal cell growth, and tumors can develop.<br><br>Researchers are working on ways to detect the disease early. Staging mesothelioma is important as it determines the treatment options.<br><br>A [https://intern.ee.aeust.edu.tw/home.php?mod=space&uid=566879 mesothelioma lawsuit] doctor can perform a paracentesis procedure or percutaneous needle biopsy to take a sample of mesothelioma tumors to be tested in the lab. These tests will reveal if the cancerous cells are epithelioid (epithelioid) or Sarcomatoid (sarcomatoid) or biphasic within the tumor. This information helps doctors develop a treatment plan.<br><br>Mesothelioma specialists can also assess the stage of mesothelioma a patient is. The staging process determines which treatments will be the most effective and help mesothelioma lawyers know which asbestos-related companies to sue in [http://ckxken.synology.me/discuz/home.php?mod=space&uid=278462 mesothelioma lawsuits].<br><br>When a mesothelioma expert reviews the results from the biopsy and creates a pathology report that contains information on the type of mesothelioma. The report could also include the staging scale, which indicates how far the cancer has spread within the body. The more advanced the stage of cancer, the less likely the 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 swallowed or inhaled asbestos fibers get encased in the tissue that lines the abdomen and other organs. They damage DNA and can cause irritation to cells. As time passes, this leads to the development of tumors in the lining. The majority of the time, peritoneal mesothelioma is found in the abdomen's lining called the peritoneum. Peritoneal mesothelioma occurs less frequently than pleural mesothelioma, and typically affects women more.<br><br>Symptoms of peritoneal mesothelioma are similar to those of gastrointestinal disorders like irritable bowel syndrome and Crohn's disease. This makes it difficult for doctors to recognize the condition. Because of this, early symptoms are mistaken for normal ailments and may last for months or even years before a patient receives the mesothelioma diagnosis.<br><br>A doctor may also perform imaging and blood tests to rule out any other diseases or conditions that may cause the same symptoms of mesothelioma. These tests can be used to determine the most suitable treatment options.<br><br>A biopsy is performed by a physician to confirm the diagnosis. This is because peritoneal msothelioma occurs in the abdominal lining. A biopsy involves the removal of small portions of the affected area to be examined by pathologists. Biopsies can reveal cancerous cells and determine the type of mesothelioma.<br><br>If a peritoneal msothelioma has been confirmed doctors will discuss treatment options with patients. The purpose of any treatment plan is generally to decrease the size and the number of tumors. Surgery is typically the first line of defense but patients should also discuss the possibility of chemotherapy and immunotherapy.<br><br>In contrast to chest-based therapies for pleural mesothelioma, which are administered through the lung, peritoneal mesothelioma treatments are administered intravenously or orally. The injections of chemotherapy such as heated intraperitoneal therapy (HIPEC) have helped prolong survival for many patients. HIPEC was invented by mesothelioma expert Paul Sugarbaker.<br><br>Patients who have been diagnosed with peritoneal cancer may be eligible to bring a lawsuit against negligent asbestos companies. An attorney for mesothelioma can analyze the case of a patient and recommend legal options. Contact us today to start. Contact us now. It's completely free, confidential and there's no commitment. We provide nationwide representation.<br><br>Prognosis<br><br>Mesothelioma cancer is rare. Doctors have limited experience with it, and many patients are misdiagnosed as having other illnesses. A mesothelioma expert can assist patients identify the cause and ensure that they receive the proper treatment.<br><br>Asbestos exposure is the sole known cause of peritoneal mesothelioma. When asbestos fibers are inhaled or ingested, they can irritate the abdominal tissues and cause cells to mutate. This may cause tumors to form mesothelioma in the peritoneum over time.<br><br>Manufacturing or construction is usually the first area where asbestos exposure begins. These industries may use asbestos-containing materials including fireproofing, insulation. Asbestos can also be found in household products such as flooring and roof tiles. Even very low levels of exposure can put a person at risk for mesothelioma. Because mesothelioma has a long latency period it is possible for patients to be diagnosed with peritoneal mesothelioma years after their initial exposure.<br><br>Peritoneal [https://lovewiki.faith/wiki/Why_You_Should_Concentrate_On_Enhancing_Mesothelioma_Asbestos_Attorney mesothelioma lawsuits] symptoms can appear similar to other conditions and can be mistaken for a hernia digestive issues such as colitis or Crohn's disease or other types of abdominal cancer. Many patients do not report their asbestos exposure and do not seek medical attention. A biopsy may be recommended by a specialist to confirm the diagnosis of mesothelioma. A biopsy involves removing only a small amount of affected tissue to test. This procedure can reveal the stage of mesothelioma and whether it is epithelioid biphasic, or sarcomatoid.<br><br>If the mesothelioma is at an early stage, doctors can remove all the tumors and provide the best treatment. The doctor will also be able to 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>The odds of survival are worse when mesothelioma is advanced. The tumors may become resistant to certain treatments and then recur. The doctor may suggest the combination of chemotherapy and surgery. Surgery options include cytoreduction with hyperthermic intraperitoneal chemotherapy. This combination is more likely than chemotherapy on its own to improve the outlook of a patient.
Peritoneal Mesothelioma Asbestos Symptoms<br><br>The digestive system is often affected by the symptoms of mesothelioma of the peritoneal region. This is because asbestos fibers get inhaled and then become a part of the stomach's lining known as the peritoneum.<br><br>As time passes, these fibers trigger mutations in healthy peritoneal cells. Tumors that are cancerous develop in the peritoneum as a result of.<br><br>Mesothelioma is a difficult disease to recognize. The early signs can resemble symptoms of other conditions, such as hernia or irritable bowel syndrome.<br><br>Symptoms<br><br>When asbestos fibers are breathed in, they can enter the lungs and circulate throughout the body. They can then be trapped in the lining of the abdomen or other organs, causing inflammation and irritation that can lead to the growth of tumors. The process can take years to develop and many victims are unaware of their asbestos exposure until it's too late.<br><br>Asbestos fibers can become trapped in the tissue lining the abdominal cavity, or other organs, leading to malignant peritoneal melanomas. It is the second most frequent type of mesothelioma, but it is difficult to identify because the initial symptoms are not specific and similar to symptoms of gastrointestinal diseases. Patients with peritoneal mesothelioma often have stomach pain, fatigue, and digestive issues.<br><br>After a physical exam, a review of medical history, and a series of laboratory tests, mesothelioma patients are diagnosed with peritoneal cancer. A CT scan and X-ray may help doctors identify lumps or other signs of illness. In certain cases [https://menwiki.men/wiki/The_Ultimate_Glossary_For_Terms_Related_To_Mesothelioma_Asbestos_Attorney mesothelioma lawsuits] physicians may order a biopsy to obtain an accurate diagnosis.<br><br>Peritoneal mesothelioma symptoms generally begin in the abdomen and can result in severe abdominal discomfort and weight loss, bloating stomach fluid accumulation nausea, vomiting, and other digestive problems. Symptoms may also include chest pain, swelling and fatigue. When these symptoms occur, it is important that victims seek medical attention because they could be caused by other illnesses.<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 heated chemo.<br><br>Contact our mesothelioma attorneys to learn how we can assist you if you or a family member has been diagnosed with peritoneal mesothelioma. We can connect you with a mesothelioma specialist near you and assist you in bringing a lawsuit against the asbestos-related companies responsible for your exposure. We can also assist you to get the financial compensation you are entitled to. Fill out our online form to begin the process. We partner with the top mesothelioma lawyers and can help you secure the best possible outcome.<br><br>Diagnosis<br><br>The first step to diagnose mesothelioma peritoneal is to obtain an exact medical history. Doctors will ask the patient about their asbestos exposure and when it happened. A physical exam will be conducted. Initial tests typically include blood tests and Xrays and CT scans.<br><br>Because of the long latency period, peritoneal mesothelioma is often difficult to identify. Patients may experience symptoms such as abdominal pain, fever and nausea that resemble other conditions. These non-specific symptoms can confuse doctors. Mesothelioma is a rare cancer and it can take a long time before symptoms show up after asbestos exposure.<br><br>Asbestos fibers inhaled or consumed travel to the stomach lining, known as the peritoneum. Asbestos fibers that are sharp can irritate mesothelium after they reach the peritoneum. This irritation can cause scar tissue and inflammation over time. This causes abnormal cell growth and tumors.<br><br>Researchers are working on ways to detect the disease at its earliest stages. The process of identifying mesothelioma's stage is crucial as it determines treatment options.<br><br>A mesothelioma specialist can perform paracentesis (percutaneous needle biopsy) to take a sample for laboratory testing. These tests can identify the type 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 are able to determine the stage of a patient. It determines which treatment options will be the most effective and help mesothelioma lawyers determine which asbestos-related companies to sue in [http://www.hebian.cn/home.php?mod=space&uid=3535156 mesothelioma lawsuits].<br><br>When a mesothelioma expert reviews the results from an examination the doctor creates a pathology record that contains information on the type of mesothelioma. The report could also include an assessment scale that reveals how far the cancer has spread across the body. The higher the stage, the less likely it is that it will respond to treatment. A lawyer can explain the implications of this to specific clients.<br><br>Treatment<br><br>Asbestos fibers are inhaled or eaten and then absorbed in the tissue that lines the abdomen and other organs. These fibers damage DNA and irritate cells. This leads to the development of tumors. The majority of the time, peritoneal [https://kingranks.com/author/dateclub00-1070499/ mesothelioma lawyer] is found in the abdomen's lining called the peritoneum. Peritoneal Mesothelioma affects more women than pleural mesothelioma however, it is less prevalent.<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 recognize the condition. Initial symptoms may be misinterpreted as a sign of other illnesses and can last for a long time, or even years before a mesothelioma is diagnosed.<br><br>In addition to an extensive medical history, a physician will run tests for imaging and bloodwork to rule out other diseases and conditions that could cause the same symptoms as mesothelioma. These tests will help to determine the best treatment options.<br><br>Since peritoneal [https://hyde-kondrup.technetbloggers.de/why-we-love-mesothelioma-attorney-and-you-should-too/ mesothelioma lawyer] can develop in the abdominal lining, a doctor will perform biopsy to confirm a diagnosis. A biopsy involves the removal of small amounts of the affected area for examination by pathologists. Biopsies can reveal cancerous cells as well as identify the mesothelioma type.<br><br>After a peritoneal msothelioma is confirmed, doctors will discuss the treatment options with patients. The goal of any treatment plan is generally to reduce the size and number of tumors. Surgery is usually the first line of defense, however, patients must also consider the possibility of chemotherapy and immunotherapy.<br><br>Contrary to chest-based treatment for pleural Mesothelioma that is administered via the lungs, the treatment for peritoneal Mesothelioma is injected either intravenously or orally. The injections of chemotherapy, such as heated intraperitoneal therapy (HIPEC) has helped prolong the survival of many patients. HIPEC was invented by mesothelioma expert Paul Sugarbaker.<br><br>Patients diagnosed with peritoneal mesothelioma could be able to bring a lawsuit against negligent asbestos companies. An attorney for mesothelioma can analyze the case of a patient and recommend legal options. Contact us now to get started. It's no cost, it's confidential and there is no obligation. We offer 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. A mesothelioma specialist can assist patients with the diagnosis and ensure they receive right treatment.<br><br>Asbestos exposure is the only known cause of peritoneal cancer. Asbestos fibers can cause irritation to abdominal tissues as well as cell mutations when consumed or inhaled. This can cause tumors to form mesothelioma in the peritoneum over time.<br><br>Manufacturing or construction work is often the first place where asbestos exposure starts. These industries can use products that contain asbestos, for example, insulation and fireproofing. Asbestos is also present in household products such as flooring and roof tiles. Even the smallest amount of exposure to asbestos can cause a person to be at risk of developing mesothelioma. Because mesothelioma is a chronic disease with a long time to develop patients may be diagnosed with peritoneal cancer decades after the initial 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 Crohn's disease or colitis, or other forms of abdominal cancer. A lot of patients do not declare their asbestos exposure and don't seek medical attention. If mesothelioma is found experts may suggest a biopsy for a more accurate diagnosis. A biopsy is the process of removing only a small amount of affected tissue for testing. This test can determine whether the mesothelioma has epithelioid (epidermoid), the sarcomatoid (sarcomatoid) or biphasic.<br><br>If the mesothelioma is at an early stage doctors can remove all of the tumors and provide an effective treatment. The specialist can also determine if the cancer has spread inside the abdomen. They will then recommend palliative treatments for the patient. For instance paracentesis, which is a procedure to drain abdominal fluid.<br><br>The odds of survival are worse when a mesothelioma has advanced. The tumors could become resistant to treatment and then recur. The specialist may recommend an amalgamation of surgery and chemotherapy. The surgical options include cytoreduction surgery with hyperthermic intraperitoneal chemotherapy. This combination is more likely to improve a patient's prognosis than chemotherapy alone.

Revision as of 22:46, 12 January 2025

Peritoneal Mesothelioma Asbestos Symptoms

The digestive system is often affected by the symptoms of mesothelioma of the peritoneal region. This is because asbestos fibers get inhaled and then become a part of the stomach's lining known as the peritoneum.

As time passes, these fibers trigger mutations in healthy peritoneal cells. Tumors that are cancerous develop in the peritoneum as a result of.

Mesothelioma is a difficult disease to recognize. The early signs can resemble symptoms of other conditions, such as hernia or irritable bowel syndrome.

Symptoms

When asbestos fibers are breathed in, they can enter the lungs and circulate throughout the body. They can then be trapped in the lining of the abdomen or other organs, causing inflammation and irritation that can lead to the growth of tumors. The process can take years to develop and many victims are unaware of their asbestos exposure until it's too late.

Asbestos fibers can become trapped in the tissue lining the abdominal cavity, or other organs, leading to malignant peritoneal melanomas. It is the second most frequent type of mesothelioma, but it is difficult to identify because the initial symptoms are not specific and similar to symptoms of gastrointestinal diseases. Patients with peritoneal mesothelioma often have stomach pain, fatigue, and digestive issues.

After a physical exam, a review of medical history, and a series of laboratory tests, mesothelioma patients are diagnosed with peritoneal cancer. A CT scan and X-ray may help doctors identify lumps or other signs of illness. In certain cases mesothelioma lawsuits physicians may order a biopsy to obtain an accurate diagnosis.

Peritoneal mesothelioma symptoms generally begin in the abdomen and can result in severe abdominal discomfort and weight loss, bloating stomach fluid accumulation nausea, vomiting, and other digestive problems. Symptoms may also include chest pain, swelling and fatigue. When these symptoms occur, it is important that victims seek medical attention because they could be caused by other illnesses.

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 heated chemo.

Contact our mesothelioma attorneys to learn how we can assist you if you or a family member has been diagnosed with peritoneal mesothelioma. We can connect you with a mesothelioma specialist near you and assist you in bringing a lawsuit against the asbestos-related companies responsible for your exposure. We can also assist you to get the financial compensation you are entitled to. Fill out our online form to begin the process. We partner with the top mesothelioma lawyers and can help you secure the best possible outcome.

Diagnosis

The first step to diagnose mesothelioma peritoneal is to obtain an exact medical history. Doctors will ask the patient about their asbestos exposure and when it happened. A physical exam will be conducted. Initial tests typically include blood tests and Xrays and CT scans.

Because of the long latency period, peritoneal mesothelioma is often difficult to identify. Patients may experience symptoms such as abdominal pain, fever and nausea that resemble other conditions. These non-specific symptoms can confuse doctors. Mesothelioma is a rare cancer and it can take a long time before symptoms show up after asbestos exposure.

Asbestos fibers inhaled or consumed travel to the stomach lining, known as the peritoneum. Asbestos fibers that are sharp can irritate mesothelium after they reach the peritoneum. This irritation can cause scar tissue and inflammation over time. This causes abnormal cell growth and tumors.

Researchers are working on ways to detect the disease at its earliest stages. The process of identifying mesothelioma's stage is crucial as it determines treatment options.

A mesothelioma specialist can perform paracentesis (percutaneous needle biopsy) to take a sample for laboratory testing. These tests can identify the type of cancer cells (epithelioid, sarcomatoid or biphasic) within the tumor and help doctors come up with an appropriate treatment plan.

Specialists in mesothelioma are able to determine the stage of a patient. It determines which treatment options will be the most effective and help mesothelioma lawyers determine which asbestos-related companies to sue in mesothelioma lawsuits.

When a mesothelioma expert reviews the results from an examination the doctor creates a pathology record that contains information on the type of mesothelioma. The report could also include an assessment scale that reveals how far the cancer has spread across the body. The higher the stage, the less likely it is that it will respond to treatment. A lawyer can explain the implications of this to specific clients.

Treatment

Asbestos fibers are inhaled or eaten and then absorbed in the tissue that lines the abdomen and other organs. These fibers damage DNA and irritate cells. This leads to the development of tumors. The majority of the time, peritoneal mesothelioma lawyer is found in the abdomen's lining called the peritoneum. Peritoneal Mesothelioma affects more women than pleural mesothelioma however, it is less prevalent.

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 recognize the condition. Initial symptoms may be misinterpreted as a sign of other illnesses and can last for a long time, or even years before a mesothelioma is diagnosed.

In addition to an extensive medical history, a physician will run tests for imaging and bloodwork to rule out other diseases and conditions that could cause the same symptoms as mesothelioma. These tests will help to determine the best treatment options.

Since peritoneal mesothelioma lawyer can develop in the abdominal lining, a doctor will perform biopsy to confirm a diagnosis. A biopsy involves the removal of small amounts of the affected area for examination by pathologists. Biopsies can reveal cancerous cells as well as identify the mesothelioma type.

After a peritoneal msothelioma is confirmed, doctors will discuss the treatment options with patients. The goal of any treatment plan is generally to reduce the size and number of tumors. Surgery is usually the first line of defense, however, patients must also consider the possibility of chemotherapy and immunotherapy.

Contrary to chest-based treatment for pleural Mesothelioma that is administered via the lungs, the treatment for peritoneal Mesothelioma is injected either intravenously or orally. The injections of chemotherapy, such as heated intraperitoneal therapy (HIPEC) has helped prolong the survival of many patients. HIPEC was invented by mesothelioma expert Paul Sugarbaker.

Patients diagnosed with peritoneal mesothelioma could be able to bring a lawsuit against negligent asbestos companies. An attorney for mesothelioma can analyze the case of a patient and recommend legal options. Contact us now to get started. It's no cost, it's confidential and there is no obligation. We offer nationwide representation.

Prognosis

Mesothelioma is a rare type of cancer. Doctors have limited experience with it, so many patients are misdiagnosed as having other illnesses. A mesothelioma specialist can assist patients with the diagnosis and ensure they receive right treatment.

Asbestos exposure is the only known cause of peritoneal cancer. Asbestos fibers can cause irritation to abdominal tissues as well as cell mutations when consumed or inhaled. This can cause tumors to form mesothelioma in the peritoneum over time.

Manufacturing or construction work is often the first place where asbestos exposure starts. These industries can use products that contain asbestos, for example, insulation and fireproofing. Asbestos is also present in household products such as flooring and roof tiles. Even the smallest amount of exposure to asbestos can cause a person to be at risk of developing mesothelioma. Because mesothelioma is a chronic disease with a long time to develop patients may be diagnosed with peritoneal cancer decades after the initial exposure.

Peritoneal mesothelioma symptoms may be similar to those of other diseases and could be mistaken for a hernia digestive problems such as Crohn's disease or colitis, or other forms of abdominal cancer. A lot of patients do not declare their asbestos exposure and don't seek medical attention. If mesothelioma is found experts may suggest a biopsy for a more accurate diagnosis. A biopsy is the process of removing only a small amount of affected tissue for testing. This test can determine whether the mesothelioma has epithelioid (epidermoid), the sarcomatoid (sarcomatoid) or biphasic.

If the mesothelioma is at an early stage doctors can remove all of the tumors and provide an effective treatment. The specialist can also determine if the cancer has spread inside the abdomen. They will then recommend palliative treatments for the patient. For instance paracentesis, which is a procedure to drain abdominal fluid.

The odds of survival are worse when a mesothelioma has advanced. The tumors could become resistant to treatment and then recur. The specialist may recommend an amalgamation of surgery and chemotherapy. The surgical options include cytoreduction surgery with hyperthermic intraperitoneal chemotherapy. This combination is more likely to improve a patient's prognosis than chemotherapy alone.