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Chinese expert consensus on cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal malignancies
Authors:Yan Li  Yun-Feng Zhou  Han Liang  Hua-Qing Wang  Ji-Hui Hao  Zheng-Gang Zhu  De-Seng Wan  Lun-Xiu Qin  Shu-Zhong Cui  Jia-Fu Ji  Hui-Mian Xu  Shao-Zhong Wei  Hong-Bin Xu  Tao Suo  Shu-Jun Yang  Cong-Hua Xie  Xiao-Jun Yang  Guo-Liang Yang
Abstract:Locoregional spread of abdominopelvic malignant tumors frequently results in peritoneal carcinomatosis (PC). The prognosis of PC patients treated by conventional systemic chemotherapy is poor, with a median survival of < 6 mo. However, over the past three decades, an integrated treatment strategy of cytoreductive surgery (CRS) + hyperthermic intraperitoneal chemotherapy (HIPEC) has been developed by the pioneering oncologists, with proved efficacy and safety in selected patients. Supported by several lines of clinical evidence from phases I, II and III clinical trials, CRS + HIPEC has been regarded as the standard treatment for selected patients with PC in many established cancer centers worldwide. In China, an expert consensus on CRS + HIPEC has been reached by the leading surgical and medical oncologists, under the framework of the China Anti-Cancer Association. This expert consensus has summarized the progress in PC clinical studies and systematically evaluated the CRS + HIPEC procedures in China as well as across the world, so as to lay the foundation for formulating PC treatment guidelines specific to the national conditions of China.
Keywords:Expert consensus  Peritoneal carcinomatosis  Cytoreductive surgery  Intraperitoneal hyperthermic chemotherapy  Gastric cancer  Colorectal cancer  Ovarian cancer  Peritoneal mesothelioma  Pseudomyxoma Peritonei  Peritoneal sarcoma
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