What is the best available practice in managing PMP/PSM?
The standard of care followed by PMP/PSM specialists is a combination therapy that consists of a specialized cytroreductive (“debulking”) surgery and localized heated chemotherapy (HIPEC). For many patients this therapy is conducted to increase longevity or to relieve some of the symptoms that affect their quality of life. For other patients this combined therapy carries good odds for long term survival, with a possibility of eliminating the disease. Cytoreductive surgery seeks to remove all visible tumor by removing the peitoneum and all organs affected by the tumor. Surgery is typically quite extensive and requires a very experienced specialist. After surgery is completed, the abdominal cavity is washed with heated chemotherapy (HIPEC) to remove non-visible or microscopic tumor cells. Some specialists recommend post-operative localized chemotherapy for a approximately three to five days, providing the patient tolerates it well. In many cases, a specialist will recommend preventive sy
