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Peritoneal Mesothelioma Asbestos Symptoms<br><br>The digestive system is commonly affected by the symptoms of mesothelioma peritoneal. This is because asbestos fibers are consumed and are absorbed into the lining of the stomach, called the peritoneum.<br><br>Over time, these fibres cause mutations to healthy peritoneal cell. As a result cancerous tumors develop in the peritoneum.<br><br>The diagnosis of mesothelioma can be difficult. The early signs may be confused with other symptoms like hernias, or irritable Bowel syndrome.<br><br>Symptoms<br><br>When asbestos fibers are breathed in, they can enter the lungs and then travel throughout the body. From there, they may get trapped in the abdominal lining or other organs, creating inflammation and irritation that can lead to the growth of tumors. This process can take years to develop and many victims are unaware of their asbestos exposure until it's too late.<br><br>Malignant peritoneal mesothelioma is a condition that occurs asbestos fibers become trapped in the tissue that lines the abdominal cavity as well as other organs. It is the second most prevalent type of mesothelioma, but it can be difficult to identify because the initial symptoms aren't specific and are similar to those of digestive disorders. Patients suffering from peritoneal mesothelioma typically experience stomach pain, fatigue, and digestive problems.<br><br>After a physical exam followed by a review of medical history, and a series of laboratory tests, mesothelioma sufferers are diagnosed with peritoneal cancer. A CT scan or X-ray can help doctors detect lumps, or other indications of illness. In certain instances mesothelioma patients, doctors will also require a biopsy to obtain a more precise diagnosis.<br><br>Peritoneal Mesothelioma symptoms usually start in the abdomen. They 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 chest pain, fatigue and swelling. It is crucial for patients to seek medical attention when they have these symptoms, as they could be caused by something other than [http://www.bitspower.com/support/user/fearpolo12 mesothelioma lawyer].<br><br>Despite the difficulties in diagnosing patients with peritoneal msothelioma, they can often receive the right treatment to prolong their lives. In most cases, this is done through the use of surgery and chemotherapy that is heated.<br><br>If you or a loved one have been diagnosed with peritoneal [http://ywhhg.com/home.php?mod=space&uid=642095 mesothelioma lawyer], contact our mesothelioma attorneys to find out how we can assist. We can help you locate an expert in your area who can assist you in filing a lawsuit against asbestos companies that are responsible for your exposure. We can also assist you to get the financial compensation you deserve. Fill out our online form to begin the process. We can assist you in obtaining the best possible outcome by working with top [https://www.diggerslist.com/66eb0d49acb3d/about mesothelioma attorneys].<br><br>Diagnosis<br><br>To diagnose peritoneal Msothelioma it is important to have a complete medical history. Doctors will inquire about the person's exposure asbestos and when it occurred. They also conduct a physical exam. Blood tests, X-rays, and CT scans are commonly utilized in the initial check-up.<br><br>Because of the long time of latency, peritoneal cancer can be difficult to diagnose. Patients may experience symptoms like abdominal pain, fever and nausea that are similar to other conditions. These symptoms aren't specific and can confuse doctors. Mesothelioma is a rare cancer, and it can take a long time before symptoms show up after exposure to asbestos.<br><br>Asbestos fibers that are inhaled or consumed move into the stomach lining known as the peritoneum. Asbestos fibers that are sharp irritate mesothelium once they reach the peritoneum. This irritation causes inflammation and scar tissue over time. In the end, this causes abnormal cell growth and tumors forming.<br><br>There are no FDA-approved screening tests for mesothelioma of the peritoneum, however, researchers are developing ways to identify the disease in its earliest stages. The stage of mesothelioma determines the treatment options.<br><br>A mesothelioma specialist can perform paracentesis (percutaneous needle biopsy) to take samples for lab testing. These tests can reveal the kind of cancer cells (epithelioid, sarcomatoid or biphasic) within the tumor and help doctors develop an appropriate treatment strategy.<br><br>Mesothelioma specialists also evaluate the mesothelioma stage of a patient. The stage determines the most effective treatment and assists mesothelioma lawyers to determine which asbestos companies are liable in mesothelioma cases.<br><br>If a mesothelioma specialist analyzes the results of the biopsy the doctor creates a pathology report which contains details about the type mesothelioma. The report can also include the staging system which outlines how the cancer has spread within the body. The higher the stage of cancer is, the less likely the patient will be able to respond to treatment. A lawyer can explain what this means for the client's case.<br><br>Treatment<br><br>Asbestos fibers are inhaled or eaten and then absorbed in the tissue lining the abdomen and other organs. These fibers damage DNA and cause irritation to cells. In time, this can lead to the development of tumors within the lining. Typically, peritoneal mesothelioma forms in the lining of the abdomen called the peritoneum. Peritoneal Mesothelioma has a greater impact on women than pleural Mesothelioma but it is less common.<br><br>The symptoms of peritoneal cancer are similar to those associated with gastrointestinal disorders, such as Crohn's and irritable bowel disease which makes it difficult for doctors to identify. Because of this, early symptoms can be mistaken as normal ailments and may last for months or years before a patient is diagnosed with the mesothelioma diagnosis.<br><br>A doctor may also perform tests of blood and imaging to rule out other conditions or diseases that could trigger the same symptoms as mesothelioma. These tests will also help to determine the best treatment options.<br><br>Since peritoneal mesothelioma can develop in the abdominal lining The doctor will conduct an examination to confirm the diagnosis. A biopsy involves the removal of small portions of the affected area to be examined by pathologists. Biopsies can detect cancerous cells as well as identify the mesothelioma type.<br><br>If a diagnosis of peritoneal mesothelioma is confirmed doctors will discuss treatment options with the patient. Generally, the goal of the treatment plan is to reduce the size and amount of tumors. Surgery is typically the first line of defense however, patients must also consider the possibility of chemotherapy and immunotherapy.<br><br>Contrary to chest-based treatments for pleural mesothelioma that are administered via the lungs, peritoneal mesothelioma treatments are administered intravenously or orally. Chemotherapies that are injected, such as heated intraperitoneal chemotherapy (HIPEC) have helped to prolong the life of many patients. HIPEC is a method that was invented by mesothelioma pioneer 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 suggest legal options. Contact us now to get started. It's completely absolutely free, and confidential, and there is no obligation. We offer nationwide representation.<br><br>Prognosis<br><br>Mesothelioma is a rare cancer. Because doctors have limited experience with the disease, many patients are misdiagnosed with other illnesses. Fortunately, a [https://fsquan8.cn/home.php?mod=space&uid=2720278 mesothelioma lawsuits] specialist can aid in the diagnosis process and get patients the proper treatment.<br><br>Asbestos exposure is the sole known cause of peritoneal mesothelioma. When asbestos fibers are inhaled or ingested, they could cause irritation to abdominal tissues and cause cells to mutate. This can lead to tumors that develop mesothelioma within the peritoneum over time.<br><br>Manufacturing or construction is often the first place where asbestos exposure begins. These industries could utilize products that contain asbestos, such as insulation and fireproofing. Asbestos is also found in household items such as flooring and roof tiles. Even low levels of exposure can put someone at risk of developing mesothelioma. Because the disease has a long latency period it is possible for patients to be diagnosed with peritoneal mesothelioma years after the initial exposure.<br><br>Peritoneal Mesothelioma may mimic other diseases. It is often mistaken for hernias or gastrointestinal issues such as colitis or Crohn's and other forms of abdominal cancers. Many patients don't report their asbestos exposure and do not seek medical attention. Specialists may recommend a biopsy to confirm the diagnosis of mesothelioma. A biopsy is the removal the smallest piece of tissue that is examined. This procedure can reveal the stage of mesothelioma, and whether it is epithelioid sarcomatoid or biphasic.<br><br>If mesothelioma has reached an early stage doctors can remove all of the tumors and provide an effective treatment. The specialist can also determine if the cancer has been able to spread to the abdomen. They can then prescribe palliative treatment for the patient. For example paracentesis to remove fluid from the abdomen.<br><br>The prognosis is worsened when mesothelioma is advanced. The tumors could become resistant to certain treatment and may recur. The doctor might recommend an amalgamation of surgery and chemotherapy. Surgery options include cytoreduction, which is hyperthermic intraperitoneal chemotherapy. This combination is more likely to improve the prognosis of a patient than chemotherapy on its own.
Peritoneal Mesothelioma Asbestos Symptoms<br><br>Peritoneal mesothelioma asbestos symptoms often affect the digestive system. This is due to asbestos fibers being consumed and then absorbed in a lining of the stomach called the peritoneum.<br><br>As time passes the fibers cause changes in healthy peritoneal cells. In the end cancerous tumors develop in the peritoneum.<br><br>Mesothelioma is a challenging condition to diagnose. 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 breathed. The fibers then become stuck 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 decades to develop, and a lot of victims do not know that they are exposed to asbestos until it is too late.<br><br>Malignant peritoneal mesothelioma occurs when asbestos fibers are trapped in the tissue that lines the abdominal cavity and other organs. It is the second most frequent mesothelioma type, however it can be difficult to diagnose because early symptoms aren't specific and are similar to those of gastrointestinal disorders. Patients suffering from peritoneal mesothelioma typically suffer from stomach pain, fatigue and gastrointestinal issues.<br><br>After a physical exam and reviewing medical history and a series of laboratory tests, mesothelioma sufferers are diagnosed with peritoneal cancer. An X-ray or CT scan can assist doctors to find any lumps or indications of disease. In certain cases, doctors who treat mesothelioma will also require 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. It is essential for patients to seek a medical diagnosis when they experience these symptoms, as they could be caused by something other than mesothelioma.<br><br>Despite the difficulties in diagnosing patients with peritoneal msothelioma, they can often receive the right treatment to prolong their lives. In the majority of cases, this is done through the use of surgery and chemotherapy that is heated.<br><br>Contact our mesothelioma attorneys to learn more about how we can help you if a family member has been diagnosed with peritoneal mesothelioma. We can help you find an expert in your area who can help you file a lawsuit against asbestos companies that are responsible for your exposure. We can also help you get the financial compensation you are entitled to. You can begin this process by filling out our no-cost online form. We can assist you to get the best possible outcome by working with the top [http://voprosi-otveti.ru/user/fiberstraw59 mesothelioma lawyers].<br><br>Diagnosis<br><br>To diagnose peritoneal msothelioma, it is crucial to have a an extensive medical history. Doctors will ask the patient about their exposure to asbestos and when it happened. A physical examination will be conducted. Initial work-ups often include blood tests and Xrays, as well as CT scans.<br><br>Peritoneal mesothelioma can be difficult to recognize because of its long latency period. Patients may experience symptoms like abdominal pain, fever and nausea that resemble other conditions. These nonspecific symptoms may confuse doctors. Mesothelioma is a rare type of cancer, and it can take a long time for symptoms to manifest after asbestos exposure.<br><br>Inhaled or ingested asbestos fibers move to the stomach lining called the peritoneum. Asbestos fibers that are sharp irritate mesothelium after they reach the peritoneum. Over time the irritation causes inflammation and scar tissue. This leads to abnormal cell growth and tumors.<br><br>There are no FDA-approved screenings for peritoneal mesothelioma, but researchers are working on finding ways to detect the disease in its early stages. The stage of mesothelioma will determine the treatment options.<br><br>A mesothelioma 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 can identify the type of cancer cells (epithelioid biphasic, sarcomatoid, or epithelioid) within the tumor, and assist doctors to develop an appropriate treatment plan.<br><br>Mesothelioma specialists can also assess a patient's stage of mesothelioma. It determines which treatment options will be most effective and also helps mesothelioma lawyers determine which asbestos companies to pursue in [http://bbs.theviko.com/home.php?mod=space&uid=1793702 mesothelioma lawsuits].<br><br>When a mesothelioma expert reviews the results from an examination, he or she creates a pathology report that includes information about the mesothelioma type. The report may also include the staging scale, which indicates how the cancer has spread across the body. The higher the stage the more likely it is that it will respond to treatment. A lawyer can explain the implications of this for specific clients.<br><br>Treatment<br><br>Asbestos fibers are inhaled or ingested and become embedded in the tissues lining the abdomen and other organs. These fibers damage DNA and irritate cells. As time passes, this leads to the development of tumors in the lining. Typically, peritoneal mesothelioma forms in the lining of the abdomen known as the peritoneum. Peritoneal mesothelioma is less common than pleural mesothelioma and usually affects women more.<br><br>The symptoms of peritoneal mesothelioma are similar to those of gastrointestinal disorders such as irritable bowel syndrome and Crohn's disease. This makes it difficult for doctors to identify the condition. Initial symptoms may be mistaken for other ailments, and may persist for a long time, or even years before mesothelioma diagnosis is made.<br><br>In addition to an extensive medical history, a physician will conduct imaging and blood tests to rule out other illnesses and conditions that could trigger the same symptoms as mesothelioma. These tests will also help to determine the best treatment options.<br><br>A biopsy is performed by a physician to confirm the diagnosis. This is because peritoneal Msothelioma can be found in the abdominal liner. A biopsy is the process of removing small amounts of the affected area for examination by pathologists. Biopsies can reveal cancerous cells as well as identify the mesothelioma type.<br><br>If a diagnosis of peritoneal mesothelioma has been established doctors will discuss treatment options with the patient. Generally, the goal of the treatment plan is to minimize the size and number of tumors. Surgery is usually the first line of defense however, patients should also talk about the possibility of chemotherapy and immunotherapy.<br><br>Contrary to chest-based treatment for pleural Mesothelioma which is administered via the lungs, peritoneal [http://palangshim.com/space-uid-2388989.html Mesothelioma lawsuit] treatment is administered via intravenously or orally. Chemotherapy injections such as heated intraperitoneal therapy (HIPEC) has helped prolong the life expectancy of many patients. HIPEC was invented by mesothelioma expert Paul Sugarbaker.<br><br>Individuals suffering from peritoneal cancer may be eligible to sue 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 today. It's completely free, confidential and there's absolutely no obligation. We provide nationwide representation.<br><br>Prognosis<br><br>Mesothelioma is a rare cancer. Because doctors lack experience, many patients are misdiagnosed as having other illnesses. A mesothelioma expert can help patients to diagnose the disease and ensure that they receive the right treatment.<br><br>The only known cause of peritoneal mesothelioma is asbestos exposure. Asbestos fibers can cause irritation to the abdominal tissues and cell mutations when inhaled or consumed. As time passes, this could cause tumors to form a mesothelioma of the peritoneum.<br><br>The exposure to asbestos typically starts with jobs in manufacturing or construction. These industries could utilize materials that contain asbestos, for example, insulation and fireproofing. Asbestos is also present in household items such as roof tiles and flooring. Even low levels of asbestos exposure could cause a person to be at risk of mesothelioma. Because of the long period of latency, victims may be diagnosed with peritoneal msothelioma many decades after their initial exposure.<br><br>Peritoneal Mesothelioma may mimic other diseases. It is often mistaken for hernias or gastrointestinal issues like colitis or Crohn's and other types of abdominal cancer. This is why many patients do not disclose their exposure to asbestos, and they don't seek medical care. When mesothelioma is detected, the specialists may recommend the procedure of a biopsy to make an precise diagnosis. A biopsy involves the removal of tiny pieces of tissue to be examined. This test will reveal whether the [http://voprosi-otveti.ru/user/boltokra62 mesothelioma attorney] has epithelioid (epidermoid) or Sarcomatoid (sarcomatoid) or biphasic.<br><br>If mesothelioma has reached an early stage, doctors can remove all the tumors and offer curative treatment. The doctor will also be able to determine if the cancer has spread within the abdomen. They can then prescribe palliative treatment for the patient, such as paracentesis that drains fluid from the abdomen.<br><br>If mesothelioma progresses, the prognosis becomes poorer. This is because the cancer may become resistant to certain treatments, and they may recur. The doctor might recommend the combination of surgery and chemotherapy. 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 18:21, 19 January 2025

Peritoneal Mesothelioma Asbestos Symptoms

Peritoneal mesothelioma asbestos symptoms often affect the digestive system. This is due to asbestos fibers being consumed and then absorbed in a lining of the stomach called the peritoneum.

As time passes the fibers cause changes in healthy peritoneal cells. In the end cancerous tumors develop in the peritoneum.

Mesothelioma is a challenging condition to diagnose. 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 breathed. The fibers then become stuck 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 decades to develop, and a lot of victims do not know that they are exposed to asbestos until it is too late.

Malignant peritoneal mesothelioma occurs when asbestos fibers are trapped in the tissue that lines the abdominal cavity and other organs. It is the second most frequent mesothelioma type, however it can be difficult to diagnose because early symptoms aren't specific and are similar to those of gastrointestinal disorders. Patients suffering from peritoneal mesothelioma typically suffer from stomach pain, fatigue and gastrointestinal issues.

After a physical exam and reviewing medical history and a series of laboratory tests, mesothelioma sufferers are diagnosed with peritoneal cancer. An X-ray or CT scan can assist doctors to find any lumps or indications of disease. In certain cases, doctors who treat mesothelioma will also require a biopsy to get a more accurate diagnosis.

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. It is essential for patients to seek a medical diagnosis when they experience these symptoms, as they could be caused by something other than mesothelioma.

Despite the difficulties in diagnosing patients with peritoneal msothelioma, they can often receive the right treatment to prolong their lives. In the majority of cases, this is done through the use of surgery and chemotherapy that is heated.

Contact our mesothelioma attorneys to learn more about how we can help you if a family member has been diagnosed with peritoneal mesothelioma. We can help you find an expert in your area who can help you file a lawsuit against asbestos companies that are responsible for your exposure. We can also help you get the financial compensation you are entitled to. You can begin this process by filling out our no-cost online form. We can assist you to get the best possible outcome by working with the top mesothelioma lawyers.

Diagnosis

To diagnose peritoneal msothelioma, it is crucial to have a an extensive medical history. Doctors will ask the patient about their exposure to asbestos and when it happened. A physical examination will be conducted. Initial work-ups often include blood tests and Xrays, as well as CT scans.

Peritoneal mesothelioma can be difficult to recognize because of its long latency period. Patients may experience symptoms like abdominal pain, fever and nausea that resemble other conditions. These nonspecific symptoms may confuse doctors. Mesothelioma is a rare type of cancer, and it can take a long time for symptoms to manifest after asbestos exposure.

Inhaled or ingested asbestos fibers move to the stomach lining called the peritoneum. Asbestos fibers that are sharp irritate mesothelium after they reach the peritoneum. Over time the irritation causes inflammation and scar tissue. This leads to abnormal cell growth and tumors.

There are no FDA-approved screenings for peritoneal mesothelioma, but researchers are working on finding ways to detect the disease in its early stages. The stage of mesothelioma will determine the treatment options.

A mesothelioma 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 can identify the type of cancer cells (epithelioid biphasic, sarcomatoid, or epithelioid) within the tumor, and assist doctors to develop an appropriate treatment plan.

Mesothelioma specialists can also assess a patient's stage of mesothelioma. It determines which treatment options will be most effective and also helps mesothelioma lawyers determine which asbestos companies to pursue in mesothelioma lawsuits.

When a mesothelioma expert reviews the results from an examination, he or she creates a pathology report that includes information about the mesothelioma type. The report may also include the staging scale, which indicates how the cancer has spread across the body. The higher the stage the more likely it is that it will respond to treatment. A lawyer can explain the implications of this for specific clients.

Treatment

Asbestos fibers are inhaled or ingested and become embedded in the tissues lining the abdomen and other organs. These fibers damage DNA and irritate cells. As time passes, this leads to the development of tumors in the lining. Typically, peritoneal mesothelioma forms in the lining of the abdomen known as the peritoneum. Peritoneal mesothelioma is less common than pleural mesothelioma and usually affects women more.

The symptoms of peritoneal mesothelioma are similar to those of gastrointestinal disorders such as irritable bowel syndrome and Crohn's disease. This makes it difficult for doctors to identify the condition. Initial symptoms may be mistaken for other ailments, and may persist for a long time, or even years before mesothelioma diagnosis is made.

In addition to an extensive medical history, a physician will conduct imaging and blood tests to rule out other illnesses and conditions that could trigger the same symptoms as mesothelioma. These tests will also help to determine the best treatment options.

A biopsy is performed by a physician to confirm the diagnosis. This is because peritoneal Msothelioma can be found in the abdominal liner. A biopsy is the process of removing small amounts of the affected area for examination by pathologists. Biopsies can reveal cancerous cells as well as identify the mesothelioma type.

If a diagnosis of peritoneal mesothelioma has been established doctors will discuss treatment options with the patient. Generally, the goal of the treatment plan is to minimize the size and number of tumors. Surgery is usually the first line of defense however, patients should also talk about the possibility of chemotherapy and immunotherapy.

Contrary to chest-based treatment for pleural Mesothelioma which is administered via the lungs, peritoneal Mesothelioma lawsuit treatment is administered via intravenously or orally. Chemotherapy injections such as heated intraperitoneal therapy (HIPEC) has helped prolong the life expectancy of many patients. HIPEC was invented by mesothelioma expert Paul Sugarbaker.

Individuals suffering from peritoneal cancer may be eligible to sue 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 today. It's completely free, confidential and there's absolutely no obligation. We provide nationwide representation.

Prognosis

Mesothelioma is a rare cancer. Because doctors lack experience, many patients are misdiagnosed as having other illnesses. A mesothelioma expert can help patients to diagnose the disease and ensure that they receive the right treatment.

The only known cause of peritoneal mesothelioma is asbestos exposure. Asbestos fibers can cause irritation to the abdominal tissues and cell mutations when inhaled or consumed. As time passes, this could cause tumors to form a mesothelioma of the peritoneum.

The exposure to asbestos typically starts with jobs in manufacturing or construction. These industries could utilize materials that contain asbestos, for example, insulation and fireproofing. Asbestos is also present in household items such as roof tiles and flooring. Even low levels of asbestos exposure could cause a person to be at risk of mesothelioma. Because of the long period of latency, victims may be diagnosed with peritoneal msothelioma many decades after their initial exposure.

Peritoneal Mesothelioma may mimic other diseases. It is often mistaken for hernias or gastrointestinal issues like colitis or Crohn's and other types of abdominal cancer. This is why many patients do not disclose their exposure to asbestos, and they don't seek medical care. When mesothelioma is detected, the specialists may recommend the procedure of a biopsy to make an precise diagnosis. A biopsy involves the removal of tiny pieces of tissue to be examined. This test will reveal whether the mesothelioma attorney has epithelioid (epidermoid) or Sarcomatoid (sarcomatoid) or biphasic.

If mesothelioma has reached an early stage, doctors can remove all the tumors and offer curative treatment. The doctor will also be able to determine if the cancer has spread within the abdomen. They can then prescribe palliative treatment for the patient, such as paracentesis that drains fluid from the abdomen.

If mesothelioma progresses, the prognosis becomes poorer. This is because the cancer may become resistant to certain treatments, and they may recur. The doctor might recommend the combination of surgery and chemotherapy. 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.