Apr 26, 2012 - 10:08 am
Hi all: As far as I can tell from this board and others out there, the two standard treatments for either primary or secondary peritoneal cancer are:
(1) chemotherapy (the chemicals used depend on whether the cancer is primary or secondary, e.g. primary peritoneal cancer and that arising from ovarian cancer usually use some combination of taxol and carboplatin; secondary peritoneal cancer from say colon cancer or gallbladder cancer use the chemos used to treat those cancers, e.g. folfox); and
(2) HIPEC (intra-peritoneal chemotherapy) preceded by debulking with primary or ovarian cancer origin or peritoneal stripping with secondary origins like from colon, appendix, gallbladder. (Note: these procedures on peritoneal cancer from gallbladder cancer are rarely done for some reason.)
As far as I can tell, chemotherapy may stabilize or reduce peritoneum cancers but doesn't "cure" it (is this right?), and not many people outside of origins from ovarian cancer are approved for the quite nasty debulking/stripping/HIPEC surgeries, especially if there are mets to another place like the liver. What I've also noted is that it is the mucilogenous (spelling!) type (with ascites) that seems to be favoured for the surgery route.
What I would like to find out is this - are there other, innovative, treatments out there that have been tried to get rid of the peritoneum tumours? Unfortunately, the condition isn't common, but I was thining of things like cryoablation, HIPEC done without debulking/stripping, etc.
I'll pose the question if I can on the colon club board too.