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Peritoneal Metastasis Through Colorectal

kumarsd03
Posts: 4
Joined: Apr 2017

Hi - I have my relative diagonsed as stage 4 colorectal due peritoneal metastasis, he has his surgery done but the post surgery oncology suggestions is to have HIPEC treatment. We are considering MD Mercy with Dr. Armando Sardi. We would like to know if anyone had a treatment at MD Mercy specially with Dr. Armando. Also, if there are other institute that you think is good for Peritoneal treatement, please let us know.

Thanks!

abrub's picture
abrub
Posts: 2066
Joined: Mar 2010

I went to Sloan Kettering myself - peritoneal mets from a colorectal cancer (appendix). They also do a different IntraPeritoneal chemo for it which is what I had 10 yrs ago.

LorettaMarshall's picture
LorettaMarshall
Posts: 682
Joined: Sep 2012

Hello “Kumarsd03”

Needless to say I am so sorry to hear that your relative has been diagnosed with Colorectal cancer that has spread to the abdominal cavity.  You say he has already had the “surgery done.”  May I ask what kind of surgery did he have?  Was it Cytoreductive Surgery?  As you will see by the separate topic forum I posted here with your letter specifically in mind - https://csn.cancer.org/node/309344 I have included multiple videos explaining the technique.  UPMC is one of the “highest volume” centers for the HIPEC treatment here in the states.  They enjoy a great reputation, and since my husband received such excellent treatment there, it was quite natural for me to consult with them as well.  I would love to have had the HIPEC treatment at the completion of my CRS but he did not think it would be that beneficial in my case.  And I have to trust his judgment.  After all, my abdomen was cut wide open from the breast bone to the pubic area, and he certainly could “see what was taking place inside.”  As I understand it, with Peritoneal Carcinomatosis, there can be thousands of tumors floating around in the peritoneal fluid in the abdominal cavity that are too small to be detected on a scan.  This HIPEC procedure is aimed directly inside the abdominal cavity, whereas intravenous chemo circulates around in the whole body.    

The HIPEC surgery is usually done at the end of the cytoreductive surgery.  So one would suppose that wherever your relative had his surgery, the HIPEC procedure was not available.  And you are wise to ask about it.  I would certainly recommend a 2nd opinion, and could not recommend any surgeon more highly than my own surgeon at the University of Pittsburgh Medical Center, Dr. David Bartlett.  Since I am not familiar with Dr. Sardi, I will not comment on his abilities, but a brief check on him seems that he is a very talented surgeon.  But since you asked about any other medical facility that offered this treatment, naturally UPMC came to my mind.  This is my personal testimony relative to my own Peritoneal Carcinomatosis diagnosis. We have to put a lot of faith in the surgeons whom we choose, and I would not hesitate to put my life in the hands of Dr. David Bartlett or my husband’s thoracic surgeon, Dr. James D. Luketich.  I thank God that there are some “mighty fine” hospitals and doctors in our wonderful United States of America.  God has truly blessed America and gifted some men and women with extraordinary ability to know “what makes us tick!” 

You might also want to check out the Colon Cancer forum here, to see what some of those patients have to say, but specifically Peritoneal Carcinomatosis is rare, and difficult to treat.  Believe me, your relative will be in my prayers, and I wish for great success and longevity for him.

Most sincerely,

Loretta (Peritoneal Carcinomatosis/Ovarian Cancer Stage IV) since November of 2012

1.    http://news.cancerconnect.com/types-of-cancer/colon-cancer/colon-cancer-overview/

2.    http://www.cancertherapyadvisor.com/gastrointestinal-cancers/colorectal-cancer-peritoneal-carcinomatosis-treatment-options/article/408012/

3.   https://csn.cancer.org/node/309344 - My separate topic forum on HIPEC

______________________End of references____________________

abrub's picture
abrub
Posts: 2066
Joined: Mar 2010

My surgeon at MSK (where until recently they didn't do HIPEC) told me that Dr. Bartlett was his personal go-to guy for HIPEC.  I have had excellent success with the EPIC treatment I received at Sloan Kettering.  The names mentioned so far are all absolutely tops in the field.

kumarsd03
Posts: 4
Joined: Apr 2017

Thanks abrub for this! 

kumarsd03
Posts: 4
Joined: Apr 2017

Thank you so much Loretta! I am still going through this and am sure it is going to be very helpful! Surgery that he had (28 March) was not CRS, it was actually the tumor removal and as part of that doctor was able to pick the other visible affected area. But after scan there is visible presence of PC on lower abdomen area. I will go through all that you have sent and will reach back. Thanks again so much!

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