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Pressurized intraperitoneal aerosol chemotherapy and its effect on gastric-cancer-derived peritoneal metastases: an overview

Item Type:Review
Title:Pressurized intraperitoneal aerosol chemotherapy and its effect on gastric-cancer-derived peritoneal metastases: an overview
Creators Name:Alberto, M. and Brandl, A. and Garg, P.K. and Gül-Klein, S. and Dahlmann, M. and Stein, U. and Rau, B.
Abstract:This manuscript aspires to portray a review of the current literature focusing on manifest peritoneal metastasis (PM) derived from gastric cancer and its treatment options. Despite the development of chemotherapy and multimodal treatment options during the last decades, mortality remains high worldwide. After refreshing important epidemiological considerations, the molecular mechanisms currently accepted through which PM occurs are revised. Palliative chemotherapy is the only recommended treatment option for patients with PM of gastric cancer according to the National Comprehensive Cancer Network guidelines, although cytoreductive surgery in combination with hyperthermic intraperitoneal chemotherapy demonstrated promising results in selected patients with regional PM and localized intraabdominal tumor spread. A novel treatment named pressurized intraperitoneal aerosol chemotherapy may have a promising future in improving overall survival with an acceptable postoperative complication rate and stabilizing quality of life during treatment. Additionally, the procedure has been proved to be safe for the patient and medical personnel and a feasible, repeatable method to deter metastatic proliferation. This overview comprehensively addresses this novel and promising treatment in the context of a scientifically and clinically challenging disease.
Keywords:Gastric Cancer, Peritoneal Metastases, Pressurized Intraperitoneal Aerosol Chemotherapy, Intraperitoneal Chemotherapy, Hyperthermic Intraperitoneal Chemotherapy, Molecular Mechanisms of Peritoneal Metastasis
Source:Clinical and Experimental Metastasis
ISSN:0262-0898
Publisher:Springer (The Netherlands)
Volume:36
Number:1
Page Range:1-14
Date:February 2019
Official Publication:https://doi.org/10.1007/s10585-019-09955-4
PubMed:View item in PubMed

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