How is PMP Treated?
It is very difficult to find experienced PMP oncologists and surgeons (and pathologist’s and radiologists for that matter) which leads to a variety of treatment recommendations from watch and wait, hysterectomy/ovarectomy, “partial” debulking, partial debulking followed by chemo etc. . Many times a patient has undergone many different treatments before finally finding an experienced doctor – this makes treatment outcome less favorable. It is imperative that a patient consult with a specialist as soon as possible after diagnosis. It is recommended that every patient get at least one “second” opinion on pathology as well as treatment. “Traditionally, surgical treatment consisted of debulking that was repeated until no further benefit could be achieved; systemic chemotherapy was sometimes used as a palliative option. Now, visible disease tends to be removed through visceral resections and peritonectomy. To avoid entrapment of tumour cells at operative sites and to destroy small residual m
