Abstract | BACKGROUND: Sarcomatosis results from the dissemination of cells from an abdominal or pelvic primary sarcoma to the peritoneal surfaces. In most patients this is a lethal condition. METHODS: RESULTS: These two patients had a large extent of disease. In one, a myxoid sarcoma filled the pelvis. In another, all quadrants of the abdomen and pelvis were involved by peritoneal metastases from a uterine leiomyosarcoma. The grade of these two tumors was moderate and low. Surgical resection of all sarcomatosis was performed and this was followed by HIPEC. Clinical and radiologic follow-up at 37 and 58 months after complete cytoreduction show no evidence of disease. CONCLUSION: An effort to identify patients with sarcomatosis who are predicted to have a complete cytoreduction should occur when these patients are evaluated. Patients with a complete resection and a sarcoma-specific HIPEC may have prolonged disease-free survival. No other treatments for these patients have been described.
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Authors | Paul H Sugarbaker |
Journal | International journal of surgery case reports
(Int J Surg Case Rep)
Vol. 64
Pg. 10-14
( 2019)
ISSN: 2210-2612 [Print] Netherlands |
PMID | 31590134
(Publication Type: Journal Article)
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Copyright | Copyright © 2019 The Author. Published by Elsevier Ltd.. All rights reserved. |